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25 | At approximately 9:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Administrator, Jolly Carungcong, and Executive Director, Frank Nola. Facility serves residents with dementia and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance for 41 non-ambulatory and 6 bedridden residents for a total capacity of 47 residents. Facility has an approved hospice waiver for 6 individuals. Upon arrival, LPA was informed that there were 19 Residents in care and 6 staff members on-site.
At approximately 9:15AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:20AM, LPA conducted a walk-though of the facility with Administrator. LPA observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility is a 1 story building with 26 bedrooms, 2 shower rooms, and common spaces. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins and dangerous items were observed to be stored inaccessible to residents. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Mattress pads were in place or available for resident use. Facility sinks were tested and were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Administrator's Certificate for Jolly Carungcong (7027194740) is current with an expiration date of 01/06/2026.
LPA reviewed resident files. Resident files were all found to be well organized, thorough and contained the required documentation. Fire extinguishers were last inspected October 2023. Smoke detectors and carbon monoxide detectors were tested and operational. Facility's last emergency drill was conducted in July 2024.
LPA unable to complete the Annual Inspection. Annual Continuation Visit to be conducted at a later date.
No Deficiencies Cited during visit.
Exit interview conducted. Copy of report discussed and provided to Administrator and Executive Director. Signature on form confirms receipt of documents. |