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25 | Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced required annual inspection focusing primarily on the Infection Control. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty who checked temperature prior to entering facility. During the visit, 2 staff were on duty, who contacted facility administrator (AD) Florence Tolentino about visit. AD Tolentino arrived to facility at 2:43 PM. As of 11/1/22, there are 0 active COVID-19 cases in the facility as verified. LPA De Perio observed the COVID-19 precautionary signs posted at the entrance of the facility. The PUB475 "See Something, Say Something" poster was also observed to be in the facility hallway. LPA De Perio observed the Administrator's Certificate for Florence Tolentino, which expires on 12/4/22.
LPA De Perio toured the interior and exterior portions of the facility with AD Tolentino. The facility is a single level structure and is licensed for 6 non-ambulatory residents, of which 1 may be bedridden and a hospice waiver for 4. For this visit, there are a total of 4 residents in care, of which 0 are on hospice and 0 bedridden. There are a total of 5 bedrooms, of which 2 are private resident rooms, and 2 are shared resident rooms and 1 room is for staff use. NOTE: in the living room, facility has placed a divider and has placed a bed designated for staff usage. LPA De Perio toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 3 restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured to be at 108.6 degrees Fahrenheit and hand washing signs were also posted in each restroom.
Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care and located in a kitchen drawer. Fire extinguisher was charged, mounted and located in the kitchen. LPA De Perio observed the emergency disaster and evacuation plan, which is posted in the facility hallway.
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