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25 | Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a pre-licensing visit. LPA met with Administrator Kaur Kashminder and explained purpose of visit. The facility capacity is 32 non-ambulatory residents. Census: 30
LPA and Administrator Kaur Kashminder toured/inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2- day perishable and 7- day nonperishable. Fire extinguishers were last serviced on 3/14/2024. Smoke alarms were tested and are operational. The facility has a carbon monoxide detector and performs disaster drills as required. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible. The hot water temperature was measured at 112.9*F which is within the required range of 105-120*F.
LPA reviewed 4 staff files and the facility has sufficient staffing to provide the services needed to meet the residents’ needs. All staff have criminal record clearance and are associated to the facility. LPA reviewed 5 resident files & 3 staff files which have all required documents. Component III interview was conducted with Administrator Kaur Kashminder and completed during today's Pre-licensing visit.
No deficiencies observed or cited during today's visit and copy of report left at facility. |