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25 | Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The
facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the
purpose of the visit with Caregiver Maria Cruz, Administrator Merecedita Lafiguera arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory.
LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities.
Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled and locked as required.
No pool or body of water was present. Water temperature was measured at 107 degrees F. Per Maria, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit was complete.
Resident records reviewed contained required documentation. Hospice resident full bed rail orders were verified. Staff records reviewed contained required documentation.
No deficiencies were cited on todays date. An exit interview was conducted with Administrator Merecedita Lafiguera, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit. |