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25 | Licensing Program Analyst (LPA) Steve Chang conducted an unannounced Annual Inspection visit today, and met with Administrator(ADM) Marife Duewel and Assist Living Director (ALD) Roselily Cacas..
LPA reviewed 5 resident files and 5 staff files.
LPA observed license, personal rights posters in the facility. Administrator certificate was observed expired. ADM provided the document that he/she already renewed it.
LPA toured the facility inside and out with ADM and ALD. LPA toured the common areas including dining room, activity room, social room, hallways, kitchen, laundry room, Ice Cream Parlor, public restrooms, library, and offices. LPA toured the resident rooms in Assistant Living Unit, and Memory Care Unit. The exit doors of memory care unit were tested. The alarm sounded when pushed the exit door without pin, and delayed 15 seconds to open. LPA pulled room 251 emergency call, staff came within 8 minutes.
Medication closet in Medication carts were observed locked. Medication rooms were observed locked. Chemical room, housekeeping rooms were observed locked. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Knives storage was observed locked. Room temperature was at 70 degree F, and hot water temperature was at 107 degree F in facility. Fire extinguishers were serviced on 1/24/2024. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Carbon monoxide detectors were tested and they were working fine. LPA toured the courtyard, nothing was observed abnormal. The last time the facility conducted the emergency drill is 08/30/2024.
No citation was noted today. Exit interview was conducted with ADM. A copy of this report was provided to ADM.. |