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25 | On today's date 07/02/24 at 1:00pm 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). There is currently one (1) resident receiving hospice services. Below are the observations made during today's visit:
The facility is a single story building with 7 combined bedrooms and bathrooms, dining area, front and back patio, kitchen, living room and medication room. The facility was observed to be clean and clutter and odor free. The resident bedrooms were observed to have the required furniture, the call lights were observed to be operable. The facility food supply was sufficient. LPA observed all toxic chemicals and other hazards/sharps to be inaccessible to residents.
The facility was observed to have a sufficient food supply of 2 day of perishable and a 7 day of non perishable food items. The hot water temperature was tested and found to be within regulatory limits, measuring at 112.1 degrees Fahrenheit. The facility has fully charged fire extinguishers. The emergency drills are conducted quarterly, the last drill was conducted on 4/16/24, the next drill will be conducted by the end of this month (July 2024). The last fire inspection was conducted on 12/14/23.
Staff present were observed to have obtained criminal record clearance and to be associated to the facility. Staff present were observed to have current CPR/First Aid certification, and possess a valid Administrator certificate which expires on 04/16/2025. Resident files were observed to have the required documentation such as physician's report, appraisal, and admissions agreement.
Based on today's visit there were no deficiencies were observed. An exit interview was conducted and a copy of the report and LIC 811 was provided to the Executive Director, Brigitta Lofvendahl. |