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25 | On January 10, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 8:51 AM to conduct an unannounced Annual 1-year required inspection. LPA Calandra met with Mayra Herrera and Cesar Herrera, Administrators and explained the purpose of his visit.
LPA Calandra toured the physical plant. This is a two story building that consists of 7 bedrooms(5 for residents and 2 staff bedrooms) and 2 bathrooms. Water in all bathrooms was measured between the required 105-120 degrees Fahrenheit. Bathrooms were observed to have the required grab bars and anti-skid mats. Fire extinguisher in the facility was observed to be fully charged and last checked on 1/10/2023. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The kitchen and garage refrigerators and freezers temperature was within the required range. All bedrooms were sufficiently lit and had the required furniture. The front and backyards were clear from obstructions. No accessible bodies of water or hazards were observed. The facility's first aid was observed to be complete. There were 3 staff and no residents present during the inspection.
P and I money was counted in the presence of the LPA and matched facility records.
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 records. All were observed to be complete.
LPA also reviewed 3 staff records. All were observed to be complete. |