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25 | On February 13, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:14 AM to conduct an unannounced Annual 1-year required inspection. LPA Calandra met with Amelia Arcinas, Caregiver. The Administrator, Teresita Jomok was unable to join the visit.
LPA Calandra toured the physical plant. This is a story building that consists of 6 rooms and 3 bathrooms. Water in all bathrooms was measured above the 125 degrees Fahrenheit. Facility staff turned down the temperature of the water down in the presence of the LPA. Bathrooms were observed to have the required grab bars and anti-skid mats. Fire extinguishers in the facility were observed to be fully charged and last checked on April 12, 2023. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The kitchen refrigerators and freezers temperature was within the required range. All bedrooms were sufficiently lit and had the required furniture. The backyard was clear from obstructions. No accessible bodies of water or hazards were observed. The facility's first aid was observed to be complete. The facility does not handle any cash resources. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit.
All knives and sharp objects were observed to be locked and in-accessible to persons in care. All medications, soaps, and detergents were observed to be locked and in-accessible to persons in care.
A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.
LPA Calandra reviewed 5 resident and 3 staff files. All were observed to be complete.
No deficiencies were cited during today's visit. The report was reviewed with Caregiver, Amelia Arcinas and a copy was left at the facility. |