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25 | LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Marketing Director Gina Avalos and Administrator Cecilia Dauth followed after. LPA explained the purpose of the visit.
LPA toured the facility inside and outside including a random sample of resident rooms, common areas & kitchen area. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were in the activity room doing some exercises, there were also residents in the living room area that are resting. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid floors. Body of water, a fountain in the courtyard is barricaded so it’s not accessible to residents. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter.
LPA reviewed 4 resident records and 4 staff record. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic 20hr requirement. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are in compliance with the required waiver requirements. |