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25 | On 08/13/24 , Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to conduct a Required 1- year annual inspection utilizing the care tool. LPA met with Administrator, Blesilda Madrio (Bessie) and explained the purpose of the visit. LPA observed all 5 residents at the facility during today's visit.
Administrator and LPA conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to five (5) resident bedrooms, bathrooms, kitchen, garage, common areas and backyard area.
LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The temperature in the facility was 71-72 degrees. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located near the kitchen, which was last inspected on 01/30/24. LPA reviewed drill logs, which are conducted monthly. LPA observed required Licensing posters posted throughout the facility.
LPA reviewed two (2) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights and other required documents. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of two (2) staff records. Staff has training in infection control, first aid and CPR, and other various areas of care provision.
No deficiencies are being cited during today's inspection per Title 22 Regulations.
Exit interview conducted and copy of the report was left at the facility. |