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25 | Licensing Program Analyst (LPA) Marisol Cuadra arrived unannounced to conduct an Annual Required inspection and was greeted by Licensee Janet Hermogenes.
LPA/Licensee initiated a tour of the facility around 9:00am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Water temperature in resident bathroom measured between 107.2 and 114.4 degrees F which are within allowable range of 105 to 120 degrees F. Cabinet in kitchen containing cleaning supplies and cabinet containing knives was locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Bathrooms had required bath mats and grab bars. Refrigerated medications were observed in a locked box in a refrigerator located in the garage. Door leading to the garage is also alarmed. Fire extinguisher was last inspected September 2022. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Exit doors have auditory alert system and were functional at time of visit. Most recent fire/disaster drill was conducted November, 2022. Required postings were observed. Two staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Janet Hermogenes, 6013991740, expires on 10/24/23. Medications and medication records were reviewed. Current residents handle their own cash resources. Activity calendar was observed and residents attend to Wellness Program. Facility has emergency supplies including flashlights. First aid kit fully stocked.
Licensee provided updates of the following documents: Liability Insurance, LIC 500 Personnel Summary,
LIC308 Designation of Facility Responsibility, LIC 610 Emergency Disaster Plan and surety bond.
No deficiencies were cited during today's visit. Exit interview conducted with Administrator and a copy of this report was given. |