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25 | At 8:00am on 03/15/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conducted the annual facility inspection. LPA met with Licensee's Marco and Jennifer Jimenez, and Administrators Martha Rarmeriz, announced who he was and the reason for the visit.
LPA noted that the facility is one of five, 6 bed facilities on approximately 2 acres that is gated and there is a recreation building and expansive open court yard for residents and visitors. During todays inspection, LPA conducted annual inspections on one of the five facilitates.
This facility is a 7 bedroom, 8 bathroom, single occupancy, with living room, dining room and kitchen, room number seven is designated as a salon for the residents of this facility and the campus resident. The medications are stored in a locked medication cart in the facility hallway. There are combo smoke detectors/carbon monoxide detectors throughout the facility that are hardwired with backup battery. Apex Fire and Safety conducted a successful annual compression test for the facilities fires sprinkler system on all 5 facilities on 12/07/2023. LPA noted that the facility is clean and in good repair with no obstructions in hallways doorways or exits. LPA observed fire extinguishers that were tagged current and in the green compression range. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records (CSMR) and found no violations or citations. LPA noted that the facilities has food and snacks in the kitchen. LPA noted that all resident meals are prepared and cooked in this facility A (1) and delivered to each facility by hand. LPA noted that resident special diets or communicated to the facilities chief via electronic AP and computer printout. LPA observed at least two days of perishable foods and seven days of non perishable on hand for this facility and the additional four facilities. LPA conducted a staff and resident file review and noted no violations or deficiencies.
LPA and Licensees conducted a full review of the annual care tools modules. During the full review LPA noted that there were no violations or citations discovered. LPA noted that the full annual review and facility tour there were no violations or citations discovered or issued.
Exit interview, report read, and report provided. |