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25 | Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Inspection Visit, LPA met with Administrator and explained the purpose of the visit. Prior to initiating the annual inspection, LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) surgical mask was worn.
LPA Wallace and administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to common areas, two (2) resident bedrooms, two (2) bathrooms, kitchen, and storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and administrator completed the full care tool and facility was found to be in substantial compliance at this time. There are currently five (5) residents on hospice.
LPA observed Hot water temperature was measured at 106.5 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire Extinguishers were inspected on 6/1/2022 and in compliance. Smoke and carbon monoxide detectors are in compliance with fire safety. LPA observed centrally stored medications locked up in medication rooms. LPA reviewed five (5) resident and five (5) staff files, including criminal record clearances. LPA reviewed Fingerprint clearance and associations to the facility. First aid kit was checked and is complete.
LPA received the following updated documents on today's date:
LIC 308 - Designation of Administrator, LIC 610-E - Emergency Disaster Plan, Administrator Certificate, and Liability Insurance.
No deficiencies are being cited as a result of today's inspection.
Exit interview and copy of the report left with Administrator. |