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25 | Licensing Program Analyst (LPA) Jenifer Tirre contacted the facility via telephone to conduct a pre-licensing visit via Face Time due to COVID-19 and pre-cautionary measures. LPA identified themselves and discussed the purpose of the call with Administrator Yaninee Asawadilokchai. An initial application to operate a Residential Facility for the Elderly was received by CCL on 12/08/2020 for a capacity of 6 non-ambulatory residents. Pre-licensing is for initial licensure. There are 0 residents in care during today's visit.
LPA Tirre along with Administrator Asawadilokchai toured the facility via Face Time at 9:02 AM and observed the following:
Structure: Facility is a one story, 4 bedroom, 2 bathroom house with a separate garage and a gray exterior. Living Room/ Dining Room: Adequate seating is available in the dining room and living room. Bedrooms Residents: Rooms are equipped with beds, lighting, and night stand. All rooms are missing a chair for each resident. One out of three rooms is missing accommodation of a dresser, Exit doors in facility are equipped with auditory exit alarms. Bathrooms: All resident bathrooms have a working toilet, wash basin, and bathtub/shower. One out of two restrooms is missing grab bar and both are missing Non-skid surface in the shower. Linens & Hygiene Supplies: Linen supply is ample supply for residents in care. Emergency Phone Numbers and Exit Plan: Facility does not have any items posted at the facility. Food Service: Facility has 2 day non-perishables. Facility is missing 7 day non-perishables in the pantry/ refrigerator, prior to admitting residents. Facility does not have an emergency food and water supply present at the facility. Smoke Detectors: Smoke detectors/ carbon monoxide detector are centrally wired and were tested operational. Fire extinguisher is mounted and charged. Appliances: Stove and refrigerator are operational. Facility microwave and washer/ dryer present at the facility. Toxins: LPA observed toxins locked and secured in laundry cabinet. Water Temperature: Was not tested due to facility missing thermometer. Running water does work in all sinks. Reading Material Games, and Equipment: Facility does not have any activity supplies present at the facility. CONTINUED ON LIC 809C DATED 3/30/2021 |