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25 | Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Director of Resident Care Services, Cat Tomboc. The facility was licensed for a capacity of two hundred twenty (220) non-ambulatory residents, of which one hundred (100) may be bedridden. The facility was also approved a hospice waiver for twenty (20) residents. Floors # 2, # 3, # 4, and #5 were approved for delayed egress. A secured perimeter was also approved.
The LPA, accompanied by staff, toured the interior of the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Residents bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Pull cords were tested randomly to confirm the signal system in different floors was operational.
Sufficient space was observed for resident activities, meetings, visitation, and laundry. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment, utensils, and emergency supplies were present. There were no toxic chemicals/poisons accessible to clients, and medications were labeled, and stored in a locked area.
The LPA reviewed resident and staff records. Due to time constraints, a continuation visit on a subsequent day is necessary to complete the annual inspection. No deficiencies were observed, nor cited on today's date.
An exit interview was conducted with Director Tomboc, to whom a copy of this report, and Licensee/Appeal Right (LIC 9058), were provided.
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