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25 | On July 24, 2023, Licensing Program Analyst (LPA), Jacqueline Shaw Ross
conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA met with Executive Director, Brigitta Lofvendahl and explained the nature of the visit and was granted entry into the facility. The facility was inspected inside and out. At the time of the visit, two (2) staff and thirteen (13) clients were noted to be present. LPA Shaw Ross conducted staff and client interviews.
The facility is one story and all rooms are approved for hospice and bedridden residents. The facility appears clean and free of odors with no health and safety issues. Client bedrooms are clean and appropriately furnished. Food supplies are sufficient. LPA observed all toxic chemicals and other hazards secured and inaccessible to clients. Medications are centrally stored in a locked room. Furniture in the facility is in good repair. Hot water temperature was tested and within appropriate range. All smoke and carbon monoxide detectors were tested and found operational. Fire extinguishers are fully charged. Emergency drills are conducted quarterly. Appropriate signage was posted throughout the facility. Outdoor space is free of hazards. LPA inspected the staff and client records. Staff files had the required documentation including First Aid Certifications and training documents. Client records had the required documentation and physician reports are up to date. LPA inspected medications and medications appear to be dispensed appropriately according to the physician's orders.
No deficiencies were observed during today's annual inspection. An exit interview was conducted and a copy of the report and LIC 811 was provided to the Executive Director,Brigitta Lofvendahl . |