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25 | On October 24, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Phil Surdel and House Manager, Flordilita Silva 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. No residents were observed during the facility tour. According to the hosue manager all residents were at the day program. Extra linen was observed. Two shared rooms and two private rooms with all required furnishings and bathrooms were observed to be in good repair.
A comfortable temperature of 69 degrees F is maintained and lighting is sufficient for comfort. Hot water was also tested between 105-110 degrees F throughout the facility. Sharps, toxins and medication were locked and inaccessible to residents. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of April 2023. LPA observed 2 days for perishables and 7 days non-perishables. Emergency drills are logged and done every three months.
LPA reviewed 4 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 citations are issued during the visit. LPA reviewed report with administrator and a copy is provided. |