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25 | On February 22, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Krizia Boyer and explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. Extra linen was observed. LPA toured 4 private resident bedrooms, two full bathrooms, and one staff room. All resident rooms were observed with all required furniture. Bathrooms were observed clean and odor-free; equipped with liquid soap and paper towels.
Living room and dining room was observed to be free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. Hot water throughout the facility measured between 110-115 degrees F throughout the facility. Sharps, toxins and medication were locked and inaccessible to residents. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of September 2023. LPA observed 2 days for perishables and 7 days non-perishables. Emergency drills are logged and done every three months.
LPA reviewed 4 resident records and 4 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. LPA reviewed report with Administrator and a copy is provided. |