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25 | On 10/11/23 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Yvonne Kwok . LPA explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area. LPA observed some residents resting in their bedrooms and two residents playing puzzle in the living room. While touring the facility it was observed that the room temperature was at 69 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. 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 and toxic materials were observed locked. Food supply in kitchen and cabinets located in garage was observed with an adequate with two day perishable and seven day non-perishable food supply. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill which is done every month.
Two resident records and three 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.
Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
LPA requested LIC 500 and Liability Insurance be emailed to LPA.
No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided. |