1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Oksana Doldier, Administrator, and explained purpose of the inspection. Also present was Michael Doldier, staff. LPA observed (4) residents to be in their resident rooms during the inspection. The facility is licensed for (6) residents - all (6) residents may be non-ambulatory. There is a hospice waiver approved for (4) residents. Currently there is (1) resident on hospice.
LPA and Administrator toured the interior and exterior of the facility including the common areas, resident bedrooms (6), (6) resident bathrooms, activity room, kitchen, laundry area and garage. Since the last annual inspection, (4) resident rooms were added to the location and approved by local fire department for resident use. There are (2) resident rooms that are also used for residents in the main house. LPA observed the facility to be clean, in good repair and odor-free. The bathrooms have the necessary grab bars, non-skid flooring, paper towels and 20-second hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and sharps, medications and toxins are secured in the kitchen. There are also locked toxins in the laundry area. Exit doors have alarms. LPA observed the inside temperature to be 73*F. Fire extinguisher was last serviced 12/29/23. Hot water measured 110*F in a bathroom. Smoke/monoxide alarms are working and last fire drill was conducted 1/2/24. There is adequate PPE, linens, blankets, and towels. There are activities on hand and sufficient indoor/outdoor space. Admin certificate # 6007963740 is pending renewal per Department website. The Infection Control Plan, and Emergency Disaster Plan, were reviewed and found to be very comprehensive. Required postings are visible in the common area. The First Aid Kit is complete. There is (1) unlocked gate from the inside back patio.
(3) resident files were reviewed and found to be organized and contain current/required physician's reports and care plans. Medications were reviewed for (2) residents- orders match medications on hand. Discussed Regulation 87465 and documentation on LIC622. Technical Advisory Note to be issued.
cont on 809C-1.. |