1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | On March 11, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Abbie Apolinario and explained the purpose of the visit.
LPA toured the facility inside and outside including but not limited to; resident rooms, communal bathroom, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a four floor facility; assisted living (AL) residents on the first, second and third floor, and memory care (MC) on the fourth floor. LPA toured main dining room, communal area on the first floor and observed it to be clean and free from tripping hazards. LPA observed 2 days perishables and 7 days non-perishables in the kitchen on the first floor. Chemicals, medications, toxins and sharps were locked and inaccessible to residents. Nurse's station was located on the 2nd floor. Locked medication carts were observed on each floor. Communal bathrooms were observed to be odor-free, clean and in good repair. Hot water temperature throughout the facility was measured between 112-115 degrees F.
Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of February 2024. Emergency drills are logged and done every three months. Extra linen and first aid kit was observed present. Temperature throughout the facility is comfortable and lighting is sufficient for comfort.
LPA reviewed 5 resident records and 5 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. Report is reviewed with Administrator and a copy is provided. |