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25 | On March 6, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Evelyn Conanan and explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. LPA observed six private resident rooms, all of which have half-baths. Rooms were observed clean, in good repair with all required furniture. Half-baths observed were clean and odor-free. LPA observed two full bathrooms; equipped with liquid soap, paper towels, and non-skid mats. Resident rooms with door alarms leading outside were observed be in working condition. Office room and staff room were toured. Extra linen and first aid kit was present. Water temperature throughout the facility measured between 105-110 degrees F.
Living room and dining room were observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to clients. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of March 2023. Emergency drills are logged and done every month.
LPA reviewed 5 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
No deficiencies are cited during the visit. Report is reviewed Administrator and a copy is provided. |