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25 | Licensing Program Analysts (LPAs) Nancy Guillen and Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by Staff #1. During today’s visit, LPA met with Ma Kristina Adrindeda & Rachel Tutop, Administrators.
The facility is a single story, five bedroom, three bathroom home with an approved fire clearance of six non-ambulatory residents of which two may be on hospice. The facility currently has a census of five residents in care.
During today’s visit, LPAs toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperatures in three of three resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 114.2 and 120.3 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational. The fire extinguisher is charged and was serviced on September 12, 2024. The facility’s last fire drill was conducted on June 1, 2024. LPAs inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs noted sharps and knives were secured, all appliances were in working order and medication cart is secured. LPAs observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. The First Aid kits had all the required elements and the facility is ordering a current First Aid Manual.
LPAs toured the exterior and noted there was a shaded seating area in the patio, both exterior gates self-latched and closed, there were no hazards or obstacles in pathways and there was a shed used for storage.
(Continued on LIC 809) |