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25 | Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee/Administrator, Eden Relota. Required postings were observed. Annual fees current.
LPA/Licensee initiated a tour of the facility at 12:30pm and observed the following: Facility was a comfortable temperature and pathways were free from obstructions. Resident rooms were furnished per regulation. Extra linens and hygiene products were available. Hot water temperature in resident's bathrooms measured at 107.4 and 107.2 F which is within allowable range of 105 to 120 degrees F. Medications were centrally stored and locked at time of inspection. Toxins are located in a locked cabinet in the garage. At least two days of perishable and one week of nonperishable food was available. Fire extinguishers were last serviced December 2023. Smoke detectors and carbon monoxide detector throughout the facility were tested and operational. Exit doors have auditory alert system that were functional at time of visit. Last disaster drill was conducted on 1/5/2024. Facility has a portable generator. Medication and medication records were reviewed.
LPA initiated file review at approximately 1:00pm. Four staff files and six resident files were reviewed. One out of six residents (R1) did not have their care plan signed by their responsible party within the last 12 months as stated per regulation. However, their care plan has been updated, LPA will issue a technical violation. Four out of four staff First aid certificates and CPR certificates for staff are current as well as their annual required training hours are complete. Administrator Certificate for Mechelle Relota, 6014149740, expires on 5/22/2024. Medication and medication files were reviewed. Contact information was reviewed.
Licensee agreed to provide updated copies of the following by 1/26/24: LIC500 - Personnel Report, LIC308 - Designation of Facility Responsibility, Liability insurance and proof of ownership.
No deficiencies cited during today's inspection. Exit interview conducted with Licensee and a copy of this report was given. |