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32 | {Con't from LIC809}
LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to residents in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. Room temperature was maintained in the facility at 72 degrees F. Water temperature in one of the bathroom was measured at 115 degrees F. All 3 fire extinguishers were serviced on 8/11/2023. Smoke detectors and carbon monoxide were tested and found to be operable during this visit.
Medication storage area was observed to be locked and inaccessible to residents in care. Medications were reviewed for accuracy. First aid kit was observed to have adequate supplies and accessible to staff. The facility maintains for each resident Centrally Stored Medication, Destruction Record and PRN Log. LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed personal rights, resident council and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed facility’s sufficient equipment and supplies to meet activity program needs of residents in care.
During this inspection, LPA conducted an audit of facility files, 6 resident files, and 4 staff files for regulatory compliance. All staff noted on LIC 500 have criminal background clearances and associated to this facility. LPA attempted 2 resident interviews and 2 staff interviews. 6 out of 6 Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. 4 out of 4 staff files reviewed contained all required contents including health screening, TB results, current first aid/CPR, and initial and ongoing required trainings. Facility’s liability insurance is current per regulatory requirements. The facility is current on annual license fees. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts quarterly fire drills. LPA requested an updated copy of current liability insurance, LIC 308 and LIC 500.
Due to insufficient time, this annual will require a continuation visit. The Department will return at a later date to complete the annual inspection. An exit interview was held with Angelita Dayoan, Administrator, and a copy of this report was provided to the facility.
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