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25 | On 6/5/24, at 1:50pm, Licensing Program Analyst (LPA) Arvin Villanueva, arrived to this facility unannounced to conduct their required annual inspection visit. LPA met with Sandra Chizek, Business Office Manager and explained the purpose of the visit.
During this visit, LPA and Artie Torres, Plan Operation Supervisor inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. This facility is a three-story building providing care to Assisted Living and Memory Care residents. The facility is licensed for 144 non-ambulatory residents, which 58 residents may be bedridden. The facility has a hospice waiver for 25. There are currently 86 residents who reside at this facility.
LPA randomly inspected 2 resident units in the Memory Care area and 2 resident units in the Assisted Living area. Each resident unit were observed to be clean and free of pest. Each inspected unit were observed to have smoke detector and carbon monoxide. Each unit were observed to have air conditioner/heater unit. Additionally, LPA inspected resident bathrooms in each unit. Each bathroom was observed to have grab bars and non-skid flooring. Toilet and sink were observed to be operable and in good repair. Hot water temperature in each inspected bathroom were measured between 105 degrees F and 120 degrees F.
LPA observed hallways and stairways to be clean and free of obstruction. LPA observed evacuation chairs. Elevators were observed to be operable and in good repair. Fireplaces were observed to be screened properly. Oxygen signage posted on resident unit door. Fire extinguishers were last serviced on 4/4/24. The facility was observed to maintain a room temperature of 74 degrees F in the hallways. Medications were observed to be in locked rooms and inaccessible to residents in care.
Kitchen was inspected and was found to be clean and sanitize. Food are stored adequately. Facility maintains at least 2-day perishable and 7-day non perishable food supplies. Food and food containers were labeled and dated.
Due to insufficient time, the Department will return at a later date to conduct annual continuation visit. An exit interview was conducted with Sandra Chizek and a copy of this report was provided. |