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25 | On June 29, 2021 Licensing Program Analyst (LPA) Chris Hopkins conducted an unannounced annual required inspection. LPA met with Administrator, Khin Thida, 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 resident shower room, and it is equipped with non-skid mats and grab bars. Bathroom is sanitary and odorless. The hot water temperature was measured in residents bathroom at 112 degrees Fahrenheit. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps locked in kitchen inaccessible to residents. Toxic materials were observed locked in the garage and inaccessible to residents. Food supply in kitchen and garage freezer 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 medication room located on the 2nd floor 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 Administrator, Khin Thida, and a copy of this report was provided via email. |