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25 | Licensing Program Analyst (LPA) Renee Campbell arrived at the facility to conduct an unannounced annual inspection on 11/26/2024. LPA met with Melissa Brichka, Administrator and explained the purpose of the visit. Staff Dawn Pero and Krystal Calderon assisted with today’s visit and were found to be associated to the facility.
LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. This facility is a two story building licensed to service the elderly and those with dementia, age 60 and over or 56 non-ambulatory residents of which 16 may be bedridden. The first floor is approved for bedridden and a waiver was granted for hospice care for 16.
LPA Campbell observed the facility to be free of odor, clean and in good repair. LPA Campbell observed 56 beds and 28 rooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. Fire extinguishers were last inspected on 01/02/2024. The temperature for the refrigerator was measured at 33 degrees Fahrenheit and the freezer was measured at -6 degrees Fahrenheit.
LPA Campbell observed sufficient seven-day non-perishable and two-day perishable food supplies. RCFE hot water temperatures are to be 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). Hot water was measured at 130 degrees Fahrenheit in a resident's bathroom was found to be accompanied by a sign warning of hot water as required. Fire extinguishers, smoke and carbon monoxide detectors are in good repair as documented in fire drill logs. A fire drill log was reviewed by LPA Campbell. Per documentation, a monthly fire drill was conducted successfully and staff reviewed use of the fire extinguishers. |