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25 | Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by receptionist. LPA met with Jessica Hernandez, Business Office Director and LPA explained the nature of the visit. Kathleen Olson, Executive Director arrived shortly after and met with LPA. Facility is licensed for 75 ambulatory, 158 non-ambulatory residents, of which 8 may be bedridden. Facility has an approved hospice waiver for 15 residents. The facility currently has 137 residents, and 6 residents are on hospice during today's visit.
LPA Martinez along with Business Office Director toured the inside and outside of the physical plant of the facility. LPA observed a bistro on the first floor where residents can obtain different snacks and beverages selections than in the main dining area. The bistro offers snacks all day so residents may dine when convenient. LPA observed menus and the food offered is varied and healthful. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Maintenance records were observed in the main kitchen. During the tour LPA observed residents involved in an activity as well as a posted activity schedule including games, exercise, and outings at the facility. LPA inspected that medication is centrally stored in a safe locked location; facility has a medication room. LPA observed and inspected medication carts that are used to dispense meds to residents and observed medication was labeled and stored inaccessible to residents in care. LPA reviewed five resident files, all resident files contained required documentation including updated physician reports and care plans. Facility has apartment style bedroom for residents. LPA inspected apartments; all required components were observed in inspected apartments. Each apartment has their own bathroom, LPA inspected resident bathrooms. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Resident bathrooms were tested for hot water temperature and water temperature measured between 106.8 – 114.4 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies Continued on LIC809-C
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