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
26
27
28
29
30
31
32 |
Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate with expiration date of July 21, 2025 and a CPR certification with the expiration date of January 9th, 2027
Record Review and Resident/Staff Files: LPA reviewed files for two(2) staff members, confirming criminal clearances, and CPR/First Aid certification. Three (3) residents' files were reviewed and were missing the needs and service plan. A technical violation will be issued . LPA observed first aid kit to meet the department's requirement. The residents and staff files were kept in the hallway and inaccessible to unauthorized individuals
Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen area. LPA reviewed medications for four residents, confirming that all medications were listed and accounted for.
Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 12-2-2024, which met department requirements. All facility exits were clear of obstructions.
An exit interview was conducted, during which this report was reviewed, and a copy was provided to Administrator Erika Ramos. |