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25 | On 5/9/2024, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a required annual inspection. LPA met with caregiver Judy Brasil and announced the purpose of the inspection. LPA contacted Administrator Christina Pelayo via telephone. Administrator agreed that staff could sign the report on her behalf. Administrator certificate is current with renewal date of 7/12/2025.
During the inspection, LPA toured the facility inside and outside. The outdoor area was free from hazard and provided seating for all residents. All passageways and exits were clear and free from obstruction. Facility fire extinguisher has a service tag dated 11/31/2023. Smoke and carbon monoxide detectors were present and operational. LPA reviewed facility emergency disaster plan and record of emergency drills. LPA observed an adequate supply of perishable and nonperishable foodstuffs. LPA observed a supply of food and water, as well as a supply of personal protective equipment. Medications, cleaning supplies, and sharp items were secured in a closet and were inaccessible to residents. medications appeared to be administered properly.
Common areas were clean, odor free, and well-lit. LPA toured resident bedrooms and bathrooms. Bedrooms were clean, odor free, and contained all required minimum furnishings. Bathrooms were clean, contained required secure grab bars and non-skid mats, and all fixtures were functioning properly. Two residents were receiving hospice services at the time of inspection.
LPA reviewed all resident files and a sample of staff files. No deficiencies were cited during the inspection. A copy of the report was provided and exit interview conducted.
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