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25 | Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:00AM to conduct an Annual Required inspection and was greeted by staff. LPA and staff discussed the purpose of the visit, Administrator, Laarni Lockerbie arrived shortly after.
LPA initiated a tour of the facility around 9:25AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 115 and 116 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked.
Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water supplies are stored in the garage along with Personal Protective Equipment. Fire extinguishers were last serviced September 7, 2023. Smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 02/01/2024.
Five staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Training records were reviewed. Staff have required training. LPA and Administrator discussed updating residents needs and services plans annually or whenever there is a change in condition. Administrator Certificate for Administrator, Laarni Lockerbie (6025647740) is up to date and expires 04/11/2025. Medications and medication records were reviewed.
Continued on LIC809C |