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25 | On June 23, 2021 Licensing Program Analyst (LPA) Chris Hopkins conducted an unannounced annual required inspection. LPA met with Executive Director, Jennifer Duenas, and stated the purpose of the visit.
LPA toured the indoor and outdoor premises of the facility. The indoor and outdoor passageways were free of obstruction. LPA observed the six (6) resident bedrooms and bathrooms (Room 109, 125, 131, 202, 211, and 231), bedrooms were observed to be well organized and fully furnished with adequate lighting. Bathrooms are equipped with non-skid mats and grab bars. Bathrooms are sanitary and odorless. The hot water temperature was measured in residents bathrooms. The temperatures went as follows: Room 109, 118 degrees Fahrenheit, Room 125, 116 degrees Fahrenheit, Room 131, 114 degrees Fahrenheit, Room 202, 115 degrees Fahrenheit, Room 211 (Resident was using the bathroom), Room 231, 116 degrees Fahrenheit. The facility is observed to be clean, odorless, and well maintained. Food supply in kitchen was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide, smoke detectors, and fire extinguisher were present at the facility. Centrally stored medication was locked in the Medical supply room and inaccessible by residents. All medication was labeled and sorted by resident name. Personal Protective Equipment (PPE) is adequate.
Staff records were reviewed. Staff have criminal record and fingerprint clearances on file. Staff have current First Aid/CPR certifications on file. Resident records were reviewed and were observed to be complete with documents such as Admission Agreements, Medical Assessments, and Needs and Service Plans.
No deficiencies observed today. Facility is operating in compliance with Title 22 regulations. This report was discussed with Executive Director, Jennifer Duenas, and a copy of this report was provided via email. |