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25 | Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and was greeted by Licensee/Administrator, Melissa Genet.
LPA initiated a tour of the facility around 9:35am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 110 and 1118 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinet containing cleaning supplies 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. Emergency food and water supplies are stored in the pantry.
Fire extinguishers were last serviced May 2023. Facility has a fire system that LPA is unable to test but us monitored and serviced by a vendor. Facility's most recent fire/disaster drill was conducted October, 2023.
Three staff files and six resident files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Melissa Genet expires December 1, 2023.. Medications and medication records were reviewed. Training records were also reviewed.
Licensee/Administrator to submit updates of the following documents by 12/09/2022:
LIC 308 Designated Administrator (if applicable)
LIC 500 Personnel Summary
LIC 610 Emergency Disaster Plan (review and update if changes)
Infection Control Plan (if changes)
Liability Insurance
No deficiencies cited during this inspection. |