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25 | On 8/16/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual. LPA Jensen met with Licensee Marinella Placintar and explained the purpose of today's visit.
LPA Jensen toured the grounds and observed all paths to be free of obstruction. There is a shaded area and patio furniture available for outdoor activities. All window screens were observed to be in good repair. LPA Jensen toured the interior of the facility. The facility was observed to be sanitary, free of odor and adequately furnished. LPA Jensen toured the kitchen and observed there to be 2 days of perishable of food and 7 days of non-perishable food. There was fresh produce and a variety of food options. The bathroom water temperature was 107 degrees which is within the required range of 105-120 degrees. The thermostat was set to a comfortable 72 degrees. LPA Jensen observed activities available for residents if needed. There is an adequate supply of linens available. All toxins, medications and sharp objects were locked and inaccessible to residents in care. LPA Jensen checked the smoke detector and carbon monoxide detectors and determined they are good working order.
The emergency disaster plan was reviewed and is in compliance. Fire drills are conducted on a regular basis and logged. There is an emergency supply kit that is complete and in compliance. LPA Jensen reviewed 6 of 6 resident files and found them to be complete. 6 of 6 residents are on hospice and the facility has a hospice waiver for 6. According to the physician reports there are no bedridden residents. All staff present had criminal background clearance. A hospice plan was reviewed and found to be complete.
The facility was determined to be in substantial compliance. The inspection told was used during the course of this process. An exit interview was conducted and a copy of this report was provided.
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