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25 | Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Johanna Gonzalez has a current administrator certificate expiring on 01/18/2023.
At 10:10 AM, LPA toured the facility with Administrator Gonzalez. Facility has 86 residents in care during today's visit with 5 residents on hospice care. Facility consists of 71 residents in Assisted Living and 15 residents in Memory Care. LPA observed a library, activity room, salon, and fitness center. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements as well as restrooms stocked with soap/ sanitizer. Rooms are a combination of single and double occupancy. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the facility. Facility utilizes an electronic sign in/ questionnaire sheet. Facility takes resident and staff temperatures daily and documents. LPA observed the first aid kit has all required items. Facility mitigation plan has been approved. Facility has emergency evacuation chairs at the top of stairwells. LPA observed an ample supply of emergency food and water. LPA observed multiple outside visitation areas. LPA observed the medication room and facility uses electronic medical records for medication management. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPA reviewed select resident files during the visit and all files are up to date including emergency information. Most residents and all staff are vaccinated for Covid-19.
No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility. |