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25 | Licensing Program Analyst (LPA) Ryker Heberle conducted a pre-licensing inspection today. LPA met with Administrator Erin Wiley (Admin).
LPA toured the facility interior and exterior, receiving area, 10 resident bedrooms, 13 bathrooms, kitchen, lounge, upper lounge, dining area, library, laundry room, medication room, and backyard.
The facility is equipped with connected smoke detectors. 4 fire extinguishers was observed and were noted to have been inspected on March 8th 2021. The kitchen, dining, and living room were observed in good repair.
Resident bedrooms were observed to be in good repair. Bathrooms were observed clean and equipped with grab bars and non-skid mats. The water temperature was observed to be between 110* F and 115.1 F in all but one bedrooms. One bedroom noted to have a water temperature of 90*F. Central stored medication room was inspected and observed to be inaccessible to residents. First aid supplies noted to not contain tweezers. The backyard was inspected. All outdoor and indoor passageways were observed clear and free of obstruction. No bodies of water observed.
During review of resident files, LPA noted that 4 out of 10 resident records reviewed did not have a signed pre-appraisal or needs and services plan. 1 out of 10 records inspected did not have a signed admissions agreement. 1 out of 10 records inspected did not have a signed physician's report. During review of staff files, All staff members were noted to have to have cleared their criminal background check via guardian, however, 4 out of 10 staff files did not contain criminal background check clearance letter. Aforementioned 4 out of 10 staff did have notification of receipt of background check request. |