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25 | Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. LPA arrived at 2:15 pm and was greeted by two (2) caregivers on duty, and five (5) residents present. Administrator Marino “Mark” Jose was present at the time of arrival. LPA informed Administrator of the purpose of the visit.
Entrance interview conducted:
The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for four hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there is one resident on hospice.
A tour of the physical environment was conducted. The front entry is a paved driveway leading to the front entrance with an outdoor sitting area conducive for outdoor visitation. The entry way leads into the living room, dining room, and kitchen.
The kitchen is open style with a service counter for food preparation and cabinets surrounding the kitchen area. There is a refrigerator, a microwave, a toaster, a toaster oven, blender, an oven, and a stove. There is an ample amount of cabinets for food and appliance storage. Behind the dining area is an enclosed patio utilized as an office.
A locked medication cabinet is located in a cabinet in the dining area. It contains a first aid kit and medications for residents, residents’ records and personnel documents. The medications and documents are inaccessible to residents in care.
There are six bedrooms and three bathrooms available to residents. Bedrooms #1, 2, 4, and 6 are private bedrooms with exits to the front yard or backyard. Bedroom #3 is a shared room with an exit to the backyard. Bedroom #5 is allocated for staff only with no access by residents.
Please continue to 809-C, Pg 2.
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