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25 | On 7/12/24 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator Luong Li. LPA explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were in the living room watching tv. While touring the facility it was observed that the room temperature was at 69 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid floor. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Facility has a chair lift. Emergency drills are logged and done every quarter.
Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic 20hr requirement. Facility accepts hospice residents and are in compliance with the required waiver requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
LPA received the following documents LIC308, LIC500, Liability Insurance, Copy of Deed & LIC610.
No deficiencies are cited at this time. Report is reviewed and a copy is provided. |