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25 | On September 20, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 1:00 PM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Ricardo Aban, Executive Director and explained the purpose of the visit.
LPA Calandra toured the physical plant. This is a 3 story building with 54 bedrooms and 21 bathrooms, staff rooms, lounge, dining room, kitchen, front lobby, beauty salon, and medication room. All bedrooms were observed to have the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. Hot water temperature was measured within the required range of 105-120 degrees Fahrenheit. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on February 26, 2024 The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired.
All sharp objects, poisons, and cleaning supplies were observed to be locked and in-accessible to persons in care.
LPA Calandra reviewed 6 staff files. All were observed to be complete.
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(CSMR) kept at the facility.
No deficiencies were cited during today's visit. The Annual inspection will be completed at a later date.
An exit interview was conducted. This report was reviewed with Ricardo Aban, Executive Director and a copy of the report left at the facility. |