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25 | On 08/07/2023, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with Administrator, Christina Pelayo, (certification number 6053591740, expiration date of 07/12/2025).
Facility has one entrance/exit point. LPA observed residents at common area watching television after breakfast.
The facility was observed to be at a comfortable temperature, of 74 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Department phone number and infection prevention information signs were posted thought the facility.
Fire extinguisher was observed with a service date of 11/17/2022. All four resident's rooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 111 degrees F.
Medications observed to be locked in a cabinet in the hallway. LPA reviewed MAR, it appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet. An outdoor seating area was observed for residents in care and side gate was self-closing and self-latching.
LPA reviewed Staff and Resident files. Sample of residents’ files were reviewed. Resident files observed to have update information.
No deficiencies were observed. Exit interview conducted.
Report was signed and copy of this report was provided for facility records. |