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25 | On April 12, 2024 LPA Tryon visited the facility unannounced to perform a pre-licensing visit related to a new application for Change of Ownership. Visit was unannounced due to current residents in care.
LPA met with Executive Director Jennifer Fuston.
LPA toured the facility with Ms. Fuston including common areas, resident rooms, bathrooms, kitchen/food storage, dining room, activity rooms, hallways, laundry, etc. The facility has just been completely re-decorated throughout the interior and is clean and in "brand-new" condition. Common areas, sitting areas are nicely furnished with new furniture and fixtures. Rooms are clean and include appropriate furniture as per Title 22 Regulations.
Activity areas are furnished appropriately and the facility has materials and equipment for activities.
The facility keeps individual files on each resident with appropriate documents and forms available. There are also staff files for each staff member, records of training, criminal record clearance, experience, medical exams, etc.
Facility has appropriate postings such as Resident Rights, agencies to call with issues/complaints, etc.
LPA reviewed the CARE Tool with Ms. Fuston.
The facility appears to be in compliance with regulations at this time.
LPA has waived the requirement for Orientation Component III as the Administrator has many years of experience as an Administrator and working in the facility and is familiar with regulations, policies, procedures, etc.
At this time the facility appears to be in substantial compliance. |