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25 | On 5/7/2024, Licensing Program Analyst(LPA) D. Ayers arrived unannounced at the facility to conduct a Required Annual Inspection. LPA met with Administrator Matthew Mazerik and announced the purpose of the inspection. There were 5 residents on hospice at the time of the inspection.
LPA toured the facility inside and outside. Pathways and exits were clear and free from obstruction. Smoke-detectors and carbon-monoxide detectors were present and operational. Fire extinguishers had been recently serviced. Outdoor areas were free from hazards and provided sufficient seating for residents. Medications were properly secured and appeared to be administered properly. Sharp items and cleaning supplies were secured and not accessible to residents. Facility was clean and LPA observed a sufficient supply of perishable and nonperishable food stuffs which were properly stored.
Common areas were clean, adequately furnished, and adequately lit. Resident bedrooms were clean and had required minimum furnishings. Resident bathrooms were clean, odor free, and water temperature was within required temperature range. The facility employs an Activities Coordinator, and LPA observed facility schedule of planned activities and monthly meal menu.
LPA reviewed facility plan of operations and emergency disaster plan. LPA reviewed a sample of resident and staff files, which contained all required records.
LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, and a copy of current Administrator’s Certificate to update the facility file.
No deficiencies were cited during the inspection, exit interview conducted with Licensee, a copy of the report was provided. |