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25 | On January 20, 2021 at 2:00pm, Licensing Program Analyst (LPA) Sarena Keosavang contacted the facility via telephone to commence an announced Pre-Licensing Tele-inspection visit due to COVID-19 and pre-cautionary measures.
Upon entering the facility, LPA observed required COVID-19 signs and a designated screening area for staff and visitors. LPA was allowed entry into the facility via Facetime. LPA observed post personal rights, nondiscrimination notice, and complaint information in areas of accessible to residents, representatives, and the public. LPA inspected the indoor and outdoor premises with, Administrator, Geta Loredana, to ensure there are no health and safety concerns. Indoor and outdoor passageways were free of obstruction.
The facility has a total of 5 residents' bedrooms, 1 staff bedroom, and 3 bathrooms. LPA observed the facility's living room, dinning room, kitchen area, laundry room, bedrooms, and bathrooms. LPA observed required furniture and lighting throughout the facility. Bedrooms 2, 4, and 5 have an exit door connected to the backyard. LPA observed an alarm system in bedrooms 2, 4, and 5 to be in working condition. Bathrooms are clean, sanitary, and in good repair. The hot water temperature was measured in the residents' bathroom at 120 degrees Fahrenheit. LPA observed knives/sharps were locked in the kitchen cabinet. First aid kit was completed with bandages, tweezers, thermometer, and scissor. LPA observed toxic and cleaning supplies were locked in the laundry room cabinet. LPA observed food supplies for non-perishable for a minimum of 1 week and perishable foods for a minimum of 2 days. LPA observed centrally stored medication were locked in the living room area along with residents' and staff's files. LPA observed 2 fire extinguishers, fire detectors, and carbon monoxide at the facility.
Component III presentation conducted with Geta Loredana, Administrator.
LPA observed that the facility is ready to be licensed. This report will be submitted to the Central Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Addition requirements may still be required.
An exit interview was conducted with Administrator, Geta Loredana, via telephone and a copy of this report will be provided to the facility via email. The report is to be signed and returned to LPA via email. |