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25 | On 08/06/2024, Licensing Program Analysts (LPAs) M. Medina and A. Walton arrived at the facility unannounced to conduct an Annual Required Inspection. LPAs introduced self, stated the purpose of the visit and allowed entrance to Facility. Administrator, Javier Hernandez was not available to conduct today's inspection. LPAs met with Carlos Bishop, Medication Services Manager to conduct facility tour.
LPAs conducted a tour inside and outside of facility. Facility tour began in occupied in Building #7, building observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. LPAs toured all resident bedrooms in building 7. Resident rooms appeared clean and had required furnishings. LPAs observed an adequate supply of linen. Resident bathrooms toured, water temperature measured at 117 degrees F. Kitchen toured, facility received weekly food delivery from US Foods. Facility observed to have a 2-day perishable food and 7-day of non-perishable food available. Exterior tour conducted, all exits open and free of obstructions. Medications observed to be locked and secured in medication room, medications observed to have original labels and be administered as prescribed.
Fire extinguishers were last serviced on 10/02/2023. Facility is equipped with fire sprinklers and pull stations. Carbon monoxide detectors observed to be functional during today's inspection. All cleaning supplies and toiletries observed to be locked and secured in laundry room.
LPAs reviewed staff and client records.
No deficiencies issued during today’s visit. Due to time constraints LPAs will return to complete inspection tool and continue visit.
Exit interview conducted with Medication Services Director, Carlos Bishop. A copy of this report was provided for facility records.
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