1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 08/26/2022 at approximately 1:30 PM to conduct a Case Management-Legal/Non-compliance inspection. Upon entry LPA was screened and required to sign in by staff. Administrator was notified and arrived shortly. LPA met with administrator, Rhon Franco.
LPA toured building and grounds with administrator. Facility is a 3 story building. There are a total of 12 residents, 3 of which are on hospice. 2 Residents are housed on a lower level which has an exit that leads outside. Areas of the facility accessible to residents were clean and in good repair. Walkways and exits were free from obstructions. Lower level of facility has had an ongoing pest problem but facility has taken measures to address it. All food is stored on the middle level. LPA observed sufficient perishable and non-perishable foods. Medications were centrally stored and inaccessible to residents. Toxins were secured and inaccessible. Fire extinguishers were last charged on July 21, 2022. Facility has a fire panel. Bedrooms were furnished as required. Bathrooms had necessary grab bars and non-slip mats. Activity schedule was prominently displayed for the entire month.
Facility is transitioning to an electronic chart system to document resident data which includes medication record keeping and notes on activities of daily living. Facility is conducting ongoing monthly training for staff to keep in compliance.
Exit interview conducted with administrator, Rhon Franco and a copy of this report printed for the facility.
No deficiencies cited during today's inspection. |