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25 | Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by, identified themselves to, and discussed the purpose of the visit to Caregiver Bebekyan.
According to the facility’s license, the facility has a maximum capacity of six (6) residents all of whom can be non-ambulatory, and a waiver for four (4) residents on hospice. During today's inspection, there were a total of four (4) residents in care, of which one (1) received hospice care. This facility does not feature a secured perimeter or delayed egress doors. Required licensing postings were observed in visible areas of the facility.
LPA, accompanied by Caregiver Bebekyan, 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. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was compliant, at 73 F. The facility's hot water temperature for faucets used by residents measured at 112 F.
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