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25 | At approximately 11:45AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Resident Services Coordinator, Marissa Vargas, and Health and Wellness Director, Heidi Gallagher. Facility provides care and assistance to Older Adults in Assisted Living and Memory Care. Facility has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance for 40 ambulatory, 100 non-ambulatory, which includes 20 bedridden for a total capacity of 140 residents. Facility has an approved hospice waiver for 15 individuals. Upon arrival, LPA was informed that there were currently 80 residents in care. LPA was also informed that there were 6 direct care staff members on-site.
At approximately 12:00PM, LPA reviewed Facility Staff Roster and found that all staff members on site were background cleared and associated to the facility per regulation. At approximately 12:15PM, LPA conducted a walk-though of the facility and observed the following: Facility is a 6 story building for Assisted Living and Memory Care. Facility's Memory Care is allocated to one floor. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility has a infection control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins were observed to be stored inaccessible to residents. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Mattress pads were in place or available for Resident use. Hot water temperatures for a sample size of 10 sinks were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit.
Facility's fire extinguishers were last inspected February 2023. At approximately 1:15PM, LPA reviewed a sample size of 8 resident files. All files were found to be well organized, thorough, and contained the required documentation.
No Deficiencies Cited during visit.
LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date.
Exit interview conducted. Copy of report discussed and provided to Health and Wellness Director. Signature on form confirms receipt of documents. |