1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | On March 20, 2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived at the facility to conduct an unannounced annual inspection. LPA met with Administrator, Roland Gandy and explained the nature of the inspection. LPA toured the facility inside and out with the administrator including, but not limited to the Residents apartment, Medication room, dining area, activity area, kitchen and laundry.
The kitchen was free from hazardous items. Toxins and cleaning supplies were kept inaccessible. LPA observed a 7-day supply of non-perishable and 2-day supply of perishable foods were available. Food is stored in a safe and healthful manner. A sufficient emergency food supply was observed. Two resident apartments were inspected and observed to be clean and furnished according to regulation, which includes proper furniture, dressers, chairs and lighting. The bathrooms are clean and equipped with grab bars with surfaces in the shower. LPA observed additional linens and hygiene items. Medications were labeled and stored in separate bins inside of a locked medication cabinet and are distributed according to physician orders. The first aid kit was complete. Carbon monoxide & smoke detector were observed to be functioning properly. Auditory devices were operable on all exit doors. No firearms or ammunition were stored at the facility. The outside of the facility was free from obstruction and the side gates remain unlocked. No bodies of water were observed. Three (3) resident files were reviewed, and all 3 resident files contained updated medical assessments and admission agreements. Five (5) staff records were reviewed and all #5 contained the required training as well as current first-aid/CPR certification. The hot water measured 107 degrees Fahrenheit. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. There were no deficiencies observed during the inspection.
An exit interview was conducted where this report was discussed with and provided to the Roland Gandy.
|