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25 | On 03/13/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Maria Tintas. and explained the purpose of the visit.
LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to four (4) resident bedrooms, one (1) bathroom, kitchen, common areas, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. 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. Hot water temperature was measured at 108.2 degrees Fahrenheit at the bathroom sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 73 degrees. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in the hallway next to kitchen, which was last inspected on 01/07/24. LPA observed required Licensing posters posted throughout the facility.
LPA conducted a file review of one (1) personnel and one (1) residents records. All records have the required documents.
Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for one (1) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR).
No deficiencies are being cited during today's inspection.
Exit interview conducted and copy of the report was left at the facility. |