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25 | On May 24, 2021 Licensing Program Analyst (LPA) Chris Hopkins conducted an unannounced annual required inspection. LPA met with Administrator, Michelle Roias, 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 shower room at 116 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 cabinet and cleaning supplies were observed locked in the garage and inaccessible to residents. Food supply in kitchen, garage refrigerator, and pantry cabinet located 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 medication room and inaccessible by residents. All medication was labeled and sorted by resident name.
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 Personal Rights.
No deficiencies observed today. Facility is operating in compliance with Title 22 regulations. This report was discussed with Administrator, Michelle Roias, and a copy of this report was provided via email. |