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25 | On 12/6/2023 at 11:26 AM, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Required- 1 Year inspection utilizing the CARE tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to call administrator, Geta Loredana Pop, and notify administrator of LPA's presence at the facility. Administrator arrived at a later time.
At 11:35 AM, LPA and staff toured the interior and exterior of the facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of one (1) week and perishable foods for a minimum of two (2) days. Toxic and cleaning supplies locked and is inaccessible to residents in care. The hot water temperature was measured in the bathroom at 107 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. Fire extinguisher was last serviced on 2/9/2023. Fire drill was last conducted on 072023. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility.
At 11:50 AM, LPA reviewed a total of three (3) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for three (3) residents and found no discrepancies. Administrator will submit staff files for review by the end of business today, 12/6/2023.
No deficiencies being cited during today's inspection. Exit interview conducted and report provided |