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25 | On 11/20/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Administrator Chris Regan and Residential Care Director Nina Francetic and announced the purpose of the visit. Administrator Certification is current with renewal date 2/25/2025.
LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. Fire extinguishers were recently serviced and facility has a sprinkler system. LPA toured the facility kitchen and observed an adequate supply of perishable and non-perishable foodstuffs. Kitchen and all common areas were clean, well-lit, and odor-free. Facility had adequate supply of emergency food, personal protective equipment, and first aid supplies. LPA reviewed emergency-disaster plan and records of emergency drills. All outdoor areas are free from hazards and have enough seating for residents. LPA toured a sample of resident bedrooms and bathrooms, which were observed to be clean, with all fixtures and appliances functioning properly. Bathrooms were clean and were equipped with required grab-bars and non-skid mats. LPA observed centrally stored medications to be properly stored and secured, and medications appeared to be administered properly. LPA reviewed a sample of resident and staff files. Files contained required documentation and records. LPA requested the following files to be provided by 11/27/2023: LIC 500, LIC 308, LIC 9020a.
No deficiencies were cited during the inspection. A copy of the report was provided and exit interview conducted with Administrator. |