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25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual.
LPA met with Gabriela Vieru, Administrator, and explained purpose of inspection. Also present was Corinne Crooks, caregiver. LPA was advised there are currently (5) residents, and (1) resident is temporarily at a skilled nursing facility. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (6). There are (2) residents on hospice at this time. LPA observed (5) residents present, and visitors.
LPA and the Administrator toured the interior/exterior of the facility including the common areas, resident bedrooms (4), resident bathrooms (2.5), kitchen, staff room and laundry area, and observed the facility to be clean, organized, in good repair and odor-free. Bathrooms have the necessary grab bars, non-skid flooring, paper towels and 20-second hand-washing poster. Hot water measured 116*F in the kitchen. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and locked sharps in the kitchen. Toxins are secured in the laundry area and designated storage areas, and medications are secured nearby. The inside temperature measured 78*F. Fire extinguisher was last serviced 1/24/24, and quarterly fire drills are conducted- last drill July. There is sufficient PPE/linens/towels/blankets and complete First Aid kits. There is sufficient space outside, including a covered area for seating and activities. There is (1) unlocked exit gate from the back yard, and an enclosed front and side patio areas where residents can have visitors.
LPA reviewed (3) resident binders- files are organized and contain current documentation. Staff keep detailed notes of each resident. Medications were reviewed for (2) residents- orders match medications being administered. Medication refills are logged. Staff training records were reviewed for (3) staff. All staff is cleared/associated and has current First Aid/CPR and has completed the required annual training. Required postings are in the common area. Administrator RCFE Certificate # 7001957740-exp 9/18/25. LPA obtained an updated copy of current liability insurance and LIC500. There are no deficiencies issued during today's inspection.
Exit interview with Administrator. Copy of report provided. |