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 | On 7/13/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced at the facility to conduct a Required Annual Inspection. LPA met with Licensee/Administrator Charles Park and announced the purpose of the inspection.
LPA toured the facility inside and outside. Pathways and doors were clear and free from obstruction. Smoke-detectors and carbon-monoxide detectors were present and operational. Facility was clean and odor free. LPA observed sufficient amount of perishable and non-perishable foodstuffs, and facility kitchen was observed to be clean. Common areas were clean, adequately furnished, and adequately lit. Outdoor areas were free from hazards and provided adequate seating and area for residents. The facility was equipped with a back-up generator and three wells which porivde fresh water. Resident bedrooms were clean and had required minimum furnishings. Resident bathrooms were clean, odor free, and water temperature was within required temperature range. Sharp items were secured in a locked drawer. Medications were secured in locked cabinets within a medication room. Medications appeared to be administered properly. LPA reviewed facility plan of operations and emergency disaster plan. LPA reviewed a sample of resident files and staff files and training records.
LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan, and a copy of current Administrator’s Certificate to update the facility file.
No deficiencies were cited during the inspection. Exit interview conducted with Licensee and a copy of the report and appeal rights were provided. |