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25 | On 3/12/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Enrico "Eric" Victoriano, Caregiver and Masalina Victoriano, Administrator and explained the purpose of the visit.
LPA toured the physical plant. This is a 1-story building with 7 bedrooms (6 for residents and 1 for staff) and 3 bathrooms, a living room, dining room, kitchen, and outdoor space/backyard. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's hot water was measured between the required 105-120 degrees Fahrenheit. The facility's fire extinguishers were last serviced on 3/6/2024.
All sharp objects, poisons, and detergents were observed to be locked and in-accessible to persons in care.
LPAs reviewed 5 resident records and 5 staff files. All were observed to be complete. This facility does not handle cash for residents.
A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.
A Type B Violation was provided for not having documentation of the facility's last emergency drill.
An exit interview was conducted. This report was reviewed with Masalina Victoriano, Administrator and a copy of the report left at the facility. |