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25 | Licensing Program Analyst (LPA) Talwinder Bains arrived on 08/30/2023 to conduct the annual inspection.
LPA met with administrator, Beryl Abelardo who assisted LPA during today's inspection.
During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean. All required posting were observed. Staff training contained the required initial and annual training. LPA reviewed medications of 2 residents comparing with physician orders and find no errors.
LPA and Administrator toured the facility together to ensure the health and safety of clients in care. The areas toured included client rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The administrator's certificate is current. There is a gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to clients. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use and was last serviced on 07/01/23 . Water temperature is within compliance (107F) .Inside temperature was observed to be 75*F. In the areas toured, there were no health or safety violations observed.
LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 09/15/23.
No deficiencies were observed or cited during today's visit.
Exit interview conducted. A copy of this report was printed and given to Administrator. |