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25 | Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 6/13/23 to conduct a Required-1 Year Inspection utilizing CARE inspection tool. LPA met with the Executive Director and explained the purpose of the visit.
LPA toured the interior of the facility together with Executive Director and maintenance director to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (8) resident bedrooms as well as the rest of the physical plant. In the areas toured no immediate health, safety, or personal rights violations were observed. The residence was found to be clean, safe, sanitary and in good condition. Water temperature logs were checked and water maintained in required range.
Facility has required food supplies. There are appropriate staff present to meet the needs of residents.
LPA reviewed 8 resident files and 7 staff files. Resident files reviewed are complete and current. Staff files reviewed were complete- training is ongoing. LPA advised that resident physician reports be reviewed when received and discrepancies between observation and physician's report be resolved.
LPA requested licensee submit a copy of liability insurance, resident roster and staff roster.
No deficiencies are being cited as a result of todays inspection.
Exit interview conducted and copy of report left at the facility. |