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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Irina Maroussenko and explained the reason for the visit. Facility is a single story home with 3 bathrooms, 6 bedrooms, 2 car garage, living room, laundry room dining room and kitchen. LPA and Administrator toured the facility. LPA observed the See Something, Say Something poster posted in the main entry way of the facility. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the fire extinguisher is fully charged. LPA observed the kitchen is clean and organized. LPA observed all cleaning supplies are kept locked in the laundry room. LPA observed knives are kept locked in a lock box (safe) on the kitchen counter. LPA and the Administrator toured the resident rooms. 4 bedrooms are private, 1 is shared and 1 is for staff. LPA observed all resident rooms had the required furnishings and bed linens. LPA observed all bathrooms are clean and operational. Hot water measured 117.2 degrees Fahrenheit. Smoke detectors/carbon monoxide detectors tested operational. LPA observed the fireplace in the living room is not screened. The Administrator reported that the fireplace is not in use. LPA observed the facility has a laptop for resident use only. LPA observed all medications are kept locked in a medication cart in the staff room. LPA and the Administrator toured the backyard and garage. The garage is kept locked and inaccessible to residents. The garage is used for storage of extra supplies and food. No bodies of water observed in the backyard. There is a table with chairs to sit outside. In the front courtyard of the house there is a table with an umbrella and chairs. The exit gate for the backyard is operational. No obstacles or hazards observed inside or outside of the facility. LPA reviewed 5 resident files and medications, no discrepancies observed. LPA reviewed 2 staff files, no discrepancies observed. All staff had the required training and CPR/First Aid training. LPA inspected the first aid kit. The first aid kit had all the required elements. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided. |