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25 | On 1/9/2024, at about 12:10 PM, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Leonor Carmona, Administrator.
According to the facility’s license, the facility serves six (6) elderly residents, age 60 and above, all of whom may be non-ambulatory. Hospice waiver for two (2) residents granted. During the inspection, LPA toured the interior and exterior of the facility and observed each resident’s room. The facility was organized, kempt and in good repair. Pathways inside the property were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities.
There was at least two days of perishable food, and at least seven days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked areas.
No pools or bodies of water were observed on the premises. Per Administrator, Carmona, no firearms or ammunition are kept at the facility. Emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present and serviceable. First aid kit(s) was observed. Required licensing postings were observed in visible areas of the facility. Hot water temperatures measured at 112.4 and 112. 6 in sinks accessible to residents. LPA interviewed residents and reviewed staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas.
Licensee was given Technical Advisories for carbon monoxide and smoke detectors, CPR/First Aid certification and storing cleaning supplies. No deficiencies were cited during today's annual inspection. |