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25 | On 7/1/24, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Alyssa Joy Decano. LPA explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms and kitchen area. LPA observed residents resting after arrival from day programs. While touring the facility it was observed that the room temperature was at 70 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 to be locked. Food supply was observed with an adequate 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.
Four resident records and four 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. Resident’s PNI money was counted and all accounted for. Medication review was done.
LPA received the following documents: LIC500, Copy of Administrator Certificate.
LPA requested to submit the following: Certificate of Liability Insurance & Control of Property.
No deficiencies are cited at this time. Report is reviewed and a copy is provided |