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25 | License Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an Annual Required - 1 Year inspection of the facility. LPA was welcomed by Office Manager Ramona Sandoval. LPA met with Administrator, Eric Perry. There is a total of 45 residents at this full memory care facility. There are 9 residents currently on Hospice.
LPA toured the facility on 6/20/2023 at 11:25 AM with Administrator Eric Perry. LPA observed all exits were unobstructed. Facility fire extinguishers, twelve of them (12 of 12), were last serviced on 8/9/2022. Fire department last inspected 7/2022-no violations noted on inspection date. Smoke alarms are hard wired with combination carbon monoxide detectors. Resident bathrooms have grab bars as required and non-slip flooring in showers. The food supply was sufficient during today's inspection. Hot water temperature measured between 112.2 degrees F and 114.9 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 8 of 8 resident’s bathrooms while touring facility. Resident medications are kept locked and secured in a designated medication room to ensure they are kept inaccessible to residents in care, along with Medication Technicians using two medication carts to disperse medications, that were locked when checked at 1:10pm on 6/20/2023.
LPA initiated a file review of five resident files and six personnel files but were unable to complete. LPA was also unable to review medication and will return at a later date to complete annual inspection. |