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25 | On 05/02/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection utilizing the CARE tool.LPA met with staff, Karen Mutuku, and explained the purpose of the visit. LPA requested for staff to notify Administrator, Jeffrey Stewart of LPA's presence at the facility. Administrator was unable to meet at the facility and gave staff permission to assist LPA during today's visit.
LPA and Staff conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to: resident bedrooms, bathroom, kitchen, common areas, and laundry room. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) seven days and perishable foods for a minimum of two (2) days. Toxins, knives and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen at 114.6 degrees Fahrenheit. The temperature in the facility was 74 degrees Fahrenheit. First aid kit was completed. LPA observed fire and carbon monoxide detectors to be operable. LPA observed required Licensing posters posted throughout the facility.
LPA reviewed four (4) resident files and three (3) staff files all files contained the required documentation. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for one (1) resident and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR).
No deficiencies being cited during today's inspection.
Exit interview conducted and a copy of the report was left at the facility.
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