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25 | License Program Analyst (LPA) Hansen arrived unannounced to conduct an Annual inspection of facility. LPA met with Deirdre Villante, Supervisor of Building. Administrator was called at other building of visit. There is a total of 7 residents with none currently on Hospice.
At approximately 1:45 PM, LPA toured the building and grounds with Supervisor which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. Meals are prepared in the main kitchen. Snacks and drinks are stored in the dining area. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations at the time of the visit. Hot water temperature measured between 115.5 degrees F and 117.8 degrees F. within Title 22 acceptable regulation of 105 to 120 degrees F in 5 of 5 resident’s bathrooms while touring facility on 2/22/2024 at aprox 2:00 pm. There was a supply of cleaners, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in bathroom showers. A sample tour of resident’s bedrooms was conducted, and bedrooms inspected have lighting & appropriate furnishing. Fire Extinguisher was found to be last charged on 1/18/2024 at the time of the visit. LPA observed Carbon Monoxide detectors to be operational during the visit. Medication is centrally stored, well organized and secure.
There is a daily activity schedule for residents.
LPA initiated a file review of seven residents files and five personnel files but were unable to complete. LPA was also unable to review medication and will return at a later date to complete annual inspection.
No deficiencies cited during today's inspection. |