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25 | Licensing Program Analysts (LPAs) Helena Rummonds and Jacky Macias arrived unannounced at approximately 9:30AM to conduct an Annual Required inspection and was greeted by staff. LPA and staff discussed the purpose of the visit, Administrators, Lia Miller and Babita Dhawan arrived shortly after.
LPAs initiated a tour of the facility around 9:45AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 111, 108, 107, 110 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked.
Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water supplies are stored in the pantry. Personal Protective Equipment is stored in PPE closet. Fire extinguishers were last serviced March 27, 2024. Facility has combination smoke and carbon monoxide detectors as well as a sprinkler system that is serviced by an outside vendor. Most recent fire/disaster drill was conducted 02/07/2024.
Five staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Training records were reviewed. Staff have required training. Administrator Certificate for Administrator, Lia Miller (6025709740) on the departments pending list. Medications and medication records were reviewed. LPAs observed 24 hours of pre poured medications. LPA and Administrators discussed that meds are no longer to be pre poured.
Continued on LIC809C |