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25 | Licensing Program Analyst (LPA) Zabel Chochian arrived unannounced to conduct a required annual visit. Upon arrival LPA met with Staff. Staff contacted Administrator Jennifer Hamilton and reason for visit was explained.
The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives and chemicals are kept inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Five out of six rooms are designated for resident use. Bedrooms were observed with appropriate furnishings, clean linens and sufficient lighting. RESTROOMS: Resident restrooms are clean, sanitary and in operating condition with grab bars and non-skid surfaces. Restroom observed stocked with toilet paper, soap and paper towel. Laundry and garage is kept locked. COMMON SPACES: Living room and dining room furniture were observed to be in good condition. The fireplace is covered and inaccessible. All exits have functioning auditory devices. The LPA observed the required postings on the wall in the entry area. The backyard has a covered area equipped with furniture for resident use. The side gate door is self-latching. There were no bodies of water noted. The last disaster drill was conducted on 01/04/2024. The facility emergency disaster plan was observed posted on the wall in the entry area. Fire extinguisher was last purchased in 11/2023; smoke/carbon monoxide detectors tested and are all functioning properly. Resident and Staff files were reviewed between 12pm-1pm. Resident files were checked for updated Needs and Services plans, medical assessments, admission agreements, and all other pertinent documents in their files. Staff records were reviewed and noted to be complete for first aid certification, health screening documentation, training requirements, employee rights and criminal record clearance. Staff and resident files reviewed were observed to be complete at this time. Medications are kept in a locked cabinet in the kitchen area. Medications and records reviewed with Administrator from 1pm-1:45pm. All medications have physician’s orders and are being given as prescribed. There were no health and safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.
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