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25 | On today's date 07/11/24 at 11:30am Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility for the purpose of conducting a 1 year required visit/annual inspection. LPA met with Executive Director Brigitta Lofvendahl and explained the purpose of the visit. At the time of the inspection there were 2 staff and 13 residents present. The facility is licensed to serve residents age 60 and over, 15 non ambulatory of which 15 may be bedridden. The facility has an approved hospice waiver for six (6). At this time there are currently no residents receiving hospice services. Below are the observations made during today's visit:
The facility is a single story structure with (7) combined bedrooms and bathrooms, dining area, front and back patio, kitchen, living room, medication room, and garage which is used to store the laundry appliances, generator and extra food. The facility was observed to be clean and clutter and odor free. The call lights were tested and observed to be operable. LPA observed all toxic chemicals and other hazards/sharps to be inaccessible to residents. The medications are locked inside the medication room.
The facility food supply met the requirements of a 2 day supply of perishable and a 7 day supply of non perishable food items.
The hot water temperature was tested and found to be within regulatory limits, measuring at 106.5 degrees Fahrenheit. The facility has (2) fully charged fire extinguishers fully charged. The emergency drills are conducted quarterly, the last drill was conducted on 4/16/24.
Staff present were observed to have obtained criminal record clearance and to be associated to the facility. Staff present were observed to have valid CPR/First Aid certification, and possess a valid Administrator certificate which expires on 04/16/2025. Resident files were observe to have the required documentation such as physician's report, appraisal, and admissions agreement. |