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25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA met with Janelyn Kelly, Administrator, and explained purpose of inspection. Also present were staff, Rebecca Lizama, Jacob Espino, and Licensee, Jhamil Espino. LPA observed (6) residents to be present in their rooms or in the common area during the inspection. Also present was a physical therapist who was working with one resident, and later a hospice nurse. The facility is licensed for (6) residents, (5) of who may be non-ambulatory and (1) may be bedridden. There is (1) resident currently on hospice.
LPA and Administrator toured the interior and exterior of the facility including the common areas, (6) private resident rooms, (4) resident bathrooms, kitchen, laundry, and activity area. The staff reside in an adjoining area of the facility, separated by a locked door. LPA observed the facility to be clean, in good repair and odor-free. LPA observed each bathroom to have the necessary grab bars, non-skid flooring, paper towels, trash can with lid and 20-second hand-washing poster. There is sufficient 2+day perishable and 7+day non-perishable supply of food, as well as an emergency supply of food/water and an extra freezer/fridge. Sharps and toxins are locked are in the kitchen. Additional toxins are stored in the locked laundry area. Medications are locked in the medication cart. There is sufficient PPE/incontinent supplies and linens/towels/blankets. The inside temperature measured 72*F and hot water measured 120* in the kitchen (the water heater was adjusted). Facility conducts quarterly emergency drills. Fire extinguisher was last serviced 3/4/24. Required postings are in the common area. There is (1) unlocked outside gate and a covered patio area. LPA reviewed (2) of (6) resident files and found all required documentation. Medications were reviewed for (1) resident and are being given as ordered. Documentation is being done correctly. LPA reviewed (5) staff files. All staff are cleared/associated and have completed current training, including First Aid/CPR certification. RCFE Administrator certificate #6062074740- exp 1/19/26.
An updated copy of LIC500 and liability insurance was obtained (exp 10/25/24). There are no citations issued. Exit interview. Copy of report provided to Administrator and Licensee. |