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25 | Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Alex Arguelles Jo. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom all may be non-ambulatory 1 of which may be bedridden.
LPA 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, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There were no toxic chemicals accessible to residents.
Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked areas.
No pools or bodies of water on the premises. Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible.
Resident records contained the required documents. Staff files did not contain first aid training. Administrator did not have a log of recent emergency drills.
Two technical violation (TV) for records were issued on today’s visit for first aid training's and fire drills. An exit interview was conducted with Administrator, to whom a copy of this report, LIC9102 and the Licensee/Appeal Rights (LIC9058 03/22, were provided to during the visit. |