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25 | On 4/11/2024, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Administrator Julie May Estrellado and announced the purpose of the visit. Administrator Certification is current with renewal date 8/2/2024.
LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. Fire extinguishers were recently serviced. The facility had a sprinkler system installed, and regularly conducts and documents emergency drills. LPA toured the facility kitchen and observed an adequate supply of perishable and non-perishable foodstuffs which were observed to be properly stored and labeled. Kitchen and all common areas were clean, well-lit, and odor-free. All outdoor areas are free from hazards and have enough seating for residents. Facility had adequate supply of emergency food and first aid supplies. LPA reviewed emergency-disaster plan and infection control plan.
LPA toured a sample of resident bedrooms and bathrooms, which were observed to be clean and odor free. All fixtures and appliances were functioning properly. Bathrooms were clean and were equipped with required grab-bars and non-skid flooring. LPA toured facility memory care unit. LPA observed centrally stored medications in assisted living and memory care 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 4/18/2024: 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. |