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25 | Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required 1 year inspection. LPA met with Administrator, Dina Clark.
During visit, LPA toured the facility with staff to include the dining room, living room, kitchen, garage, resident bedrooms, bathrooms, and backyard. All fire exit routes were free and clear of obstruction. All staff are fingerprint cleared and associated to the facility.
The facility's temperature was maintained at 71 degrees Fahrenheit. Resident bedrooms observed with beds, linens, night stands, dressers, and adequate lighting. Bathrooms observed with hygiene products and paper supplies. Hot water temperature maintained at 106 degrees Fahrenheit.
Kitchen observed with a sample menu posted on the fridge. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 40 degrees Fahrenheit. Freezer temperature maintained at below 0 degrees Fahrenheit. Sharp objects observed locked. Chemicals and disinfectants observed locked in the garage. Fire extinguisher last services on 10/27/2023.
LPA reviewed 3 resident files. 3 out of 3 files contained an admission agreement, medical assessment, TB result, personal rights, consent forms, and pre-appraisal. LPA observed 3 out of 3 resident's appraisal needs and services plans were updated on 01/10/2024 and are pending signatures from the resident's authorized representatives. ADM was advised. LPA reviewed centrally stored medications and centrally stored medication records to be maintained.
SEE LIC809-C. |