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25 | Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Licensee Kevin Fleck. The facility's license shows a maximum capacity of nine (9) non-ambulatory residents, of which five (5) may be bedridden. Hospice approved for six (6).
LPA Domingo and Licensee Kevin Fleck toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, 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 client activities. Facility contained at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. No toxic chemicals/poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.
LPA interviewed staff and client, and reviewed staff and client records/files. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas.
No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Kevin Fleck to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided. |