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25 | Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by DSP staff and explained the reason for the visit. The Administrator, Foster Ringor arrived shortly after to assist during the visit. Facility is licensed for twenty non-ambulatory residents, with a hospice waiver for two. Currently there are ten residents residing during today's visit.
LPA Tea reviewed five resident files and staff files. Resident files contained all required documentation. Staff files had some discrepancies with training. Administrator certificate expires on May 25, 2026.
LPA Tea along with Administrator Ringor toured the facility at 10:19 AM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a two-story home. The first floor is where the residents reside, the second floor is for staff only. The first floor has ten resident rooms and 4 full bathrooms and a half bathroom for staff. There is a kitchen, living room, dining area, laundry area and attached garage. The second floor has four bedrooms and a bathroom for private use for the staff. At the time of the visit the facility is undergoing renovation improvements. The facility has hired contractors to repaint the interior of first floor and kitchen. The floors have been replaced with a nice new vinyl flooring. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured between 121.1 F degrees and 125.2 F degrees. It was a bit high, Administrator Ringor adjusted the water temperature and immediately created and posted “Hot Water” caution signs around the facility sink faucets. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, dressing, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit.
Continuation of annual report on LIC809C
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