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25 | At 9:15am on 06/15/2023, Licensing Program Analyst (LPA) Jeffries arrived at the facility, unannounced to conduct an annual inspection. LPA met with facility Administrator Garrett Haner, and announced the reason for the visit. LPA made note of the robust passive screening and visitor check-in required to enter the facility in efforts to address infection control.
At 11:03am Administrator and LPA reviewed all modules of the annual inspection control tools. During the review of the annual inspection control tools there were no violations, technical, or citations issued.
At 12:10pm, Administrator and LPA conducted a walking tour of the entire facility. The facility has 14 single resident bedrooms all with bathrooms within all 14 of the rooms. The facility has a kitchen, dining area and 4 common areas separated of two wings of the facility. The facility has a large courtyard with ample shade and seating to accommodated residents and their visitors and foster social distancing during activities, leisure time and visits. Fire alarms are hard wired throughout the facility and serviced by Great Western Alarm annually, their last inspection was completed on 11/21/2022. LPA observed at least 2 days on perishable foods and at least 7 days of perishable foods. LPA noted that the facility water temperature was tested throughout the facility and was with in regulation limits. LPA noted that all rooms and bathrooms maintained within regulations standards. LPA observed and noted that all required postings were posted in a prominent location in the facilities front entrance bother the the left and right of the entrance. LPA noted that all hazardous materials were locked. LPA noted that there are two medication carts is locked and located in locked closets on different wings of the facility. LPA conducted a sample medication audit and found no issues, deficiencies or violations during sample medication audit. LPA noted that all rooms, restrooms, common areas, and outside areas were clean and free of hazards. LPA noted that the facility is clean and in good repair. During this annual inspection walk through LPA noted that this annual inspection was free of technical, violations and citations.
Exit interview, report read, and report provided. |