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Common Areas: These included a living room, family room, and dining area. These areas were properly furnished and functional for residents. The facility maintained a comfortable temperature. There is a hall closet which contained linens and hygiene supplies.
Garage: The locked garage had a washer and dryer, cleaning supplies, PPE, and some additional food.
Surrounding Grounds (Outdoors): There was a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises.
Medications: LPA reviewed the centrally stored medication and destruction records (CSMDR). LPA reviewed medications which were properly documented on the CSMDR and appear to be given as prescribed.
Interviews: LPA spoke with two residents who were happy with the facility staff, cleanliness, care, and food. They had no concerns. LPA spoke with staff as well; there were no concerns.
File review: LPA reviewed all six (6) residents' files; all files were complete. LPA reviewed five (5) staff files and the administrator's file. All staff are fingerprint cleared and associated to the facility. All staff have their health screenings, training and other personnel records.
Infection Control and Emergency Disaster Plan: LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills will be conducted quarterly with all staff. Emergency disaster plan was observed to be complete.
No deficiencies observed. Exit interview conducted and copy of the report provided to Administrator. |