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25 | On 3/11/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Kelley Lara who was informed of the purpose of the visit.
The facility is licensed to care for 98 elderly non-ambulatory residents, of which 10 may be bedridden. The facility also has an approved hospice waiver for 26 residents. During today’s visit, LPA toured the facility’s interior and exterior with Administrator Lara and conducted staff and resident interviews. During the tour, LPA observed there are no bodies of water on the premises. The facility has charged fire extinguishers (serviced on 11/22/2023) along with fire alarm systems and carbon monoxide detectors. LPA reviewed the facility's annual fire alarm report dated 4/13/2023, which notes that smoke detectors, annunciators, control panels and batteries where inspected and found to be in working order. Outdoor and indoor passageways were kept free of obstruction. The facility's outside courtyards have shaded areas with seating. Medications were secured in medication rooms, inaccessible to residents. LPA toured the facility's kitchen, walk-in refrigerator, freezer and dry food storage room and observed that food is stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. The facility also has emergency food, water, additional Personal Protective Equipment and incontinent supplies in storage rooms. LPA conducted resident interviews and toured residents' rooms. Resident bedrooms had the required furniture, functional lighting, and grab bars in their bathrooms. LPA reviewed random staff and resident files. Staff files had the required training records and valid first aid certification on file. Resident files had a signed physician's report and updated assessments. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted where a copy this report was reviewed and provided to Administrator Lara. |