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25 | Licensing Program Analyst (LPA) Karina Canela arrived for the purpose of conducting a Required -1 Year inspection and met with Princess Diana Silvero, Administrator.
LPA toured the facility, all exits were unobstructed. The facility was found to be clean & at a comfortable temperature. LPA observed a supply of PPE, linens (bedding, towels, etc.), and cleaning solutions (observed locked). Liquid hand soap and paper towels are available in 2 of 2 bathrooms. Resident bedrooms were fully furnished per regulation. Facility food supply was within regulation and accessible to residents. Medication was centrally stored. Water temperature was tested and observed between 105 to 120 degrees F as required.
Disaster Drills are conducted quarterly as required. Fire extinguisher were charged and serviced 08/11/2022. There are 12 hardwired combination smoke & carbon monoxide detectors, which were tested & observed operational. LPA reviewed staff and resident records. Staff have completed annual training as required and have current training certifications in First Aid & Cardiopulmonary Resuscitation (CPR) in file. Resident files are complete and up-to-date. Resident P&I funds are not commingled.
LPA requested the following updated forms to be submitted to Community Care Licensing by 07/30/2023:
· LIC 308 Designation of Facility Responsibility (1 person per form)
· LIC 500 Personnel Report
· LIC 400 Affidavit Regarding Client/Resident Cash Resources (indicate if not handling cash for residents)
· Copy of Surety Bond
· Copy of Liability Insurance
· LIC 9020 Facility Register of Client/Residents
· LIC 610E Emergency Disaster Plan
· Copy of current Administrator's Certificate
Exit interview conducted with Administrator, whose signature on this document confirms receipt. ***No deficiencies cited during this inspection |