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25 | On 09/20/2023, Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced required annual inspection at the facility. LPA met with Kurt Gursu, Executive Director (ED) and explained the purpose of the visit.
LPA toured the facility's assisted living & memory care building inside and out with ED which included the following; activity room, dinning room, kitchen, 3 assisted living bedrooms, 1 memory care bedroom, bathrooms. Residents bathrooms were observed with safety grab bars and non-skid strips and shower chairs. Residents in the assisted living building were observed participating in game of bingo in the activity room. Residents in the memory care building were observed in the activity room participating in chair yoga. The hot water temperature in both buildings measured to range between 108 - 114 degrees Fahrenheit. Medication room and carts were observed locked and well secured.
The main kitchen was inspected and was observed to be clean, well-organized with 2 days perishable and 7 days nonperishable food supply was observed to be adequate and sufficient. Refrigerators and freezers were observed with appropriate temperatures.
First Aid Kit was observed in both buildings and are complete. All required equipment is present and operational. The last fire and earth quake drill was conducted on 08/22/2023. The facility's last fire alarm inspection was on 06/02/2023. The facility's last sprinkler inspection report was on 09/14/2023.
3 Staffs and 3 residents records were reviewed. 3 resident medication records was reviewed against the centrally stored log and the MAR. No discrepancies were observed. LPA interviewed 3 staff and 3 residents.
No deficiency cited during today's visit. Exit interview conducted with Kurt Gursu, Executive Director. |