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25 | At 9:01 am on 03/20/2025, Licensing Program Analyst (LPA) Rankin arrived unannounced to the facility to conduct the annual facility inspection. LPA met with Administrator, Shirley Oani, and announced the reason for the visit.
This is a 5-bedroom, 3-bathroom facility, 4 bedrooms are resident bedrooms and 1 bedroom is a staff room. LPA and Administrator conducted a walking tour of the facility. LPA noted that there is a nice back yard with a covered pergola for shade for residents and visitors. LPA noted that the grass area is unfinished, per administrator area project has been canceled and current supplies will be removed. LPA noted that there are smoke detectors and a carbon monoxide detector working and located throughout the facility. LPA noted that there is a charged and recently inspected fire extinguisher located in the kitchen area. LPA noted that their resident rooms are lighted and furnished with regulation standards. All walkways both inside and out are clear of obstruction. Facility fire clearance notes an exit is available in 3 out of the 4 resident bedrooms, administrator was reminded that all exits must be usable and clear of furnishings. There is at least 2 days of perishable and at least 7 days of non-perishable foods on hand at the facility. Generator and emergency water are located in the facility garage. LPA conducted medication audit with no issues. LPA reviewed staff records and current training with no issues. LPA reviewed resident files and found no issues. LPA noted that the facility is clean and in good repair and found no issues on the facility walking tour. LPA noted that there were no violations, or citations issued as a result of the visit.
Exit interview, report read, and report provided.
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