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25 | This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Wendy Cruz and discussed the purpose of the inspection.
LPA reviewed Infection Control requirements. At about 12:30PM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a small commercial facility. Facility is a 13-bedroom, 5-bathroom, 4-building small commercial facility with multiple storage areas, a kitchen, a dining room, a medication room, and multiple common areas. There is a large back yard with a patio cover for the residents. The entire facility is a memory care unit with a delayed egress alarmed exit at the front gate. Resident Bedrooms: the 9 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 9 resident bedrooms inspected. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 126, 138, 85, and 109 degrees F in the Tea Rose, Jasmine, Calla Lilly, and Apple Blossom buildings, respectively. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the storage rooms. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees are paid. At about 1:30PM, LPA reviewed 5 resident files and 5 staff files, interviewed 5 residents and 5 staff, and inspected medications for 5 residents. Facility does not handle resident money.
CONTINUED |