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25 | Licensing Program Analyst (LPA) KaSandra Lopez conducted a pre-licensing visit to the above noted facility. The LPA met with applicant, Victor Hernandez at 10:19 AM. This is a change of ownership application and the facility is currently licensed as Ron and Tess Home Care LLC, 567609979. A Dementia program was included in the plan of operation. A Hospice Waiver for six has been requested. Component III was completed with the applicant during the inspection.
The facility is a single story. At 10:23 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for five (5) non-ambulatory residents and one (1) bedridden resident in bedroom #2. The facility has two private resident bedrooms, bedroom # 2 and bedroom # 3, and two shared bedrooms, bedroom #1 and bedroom #4.. Bedroom #2 has a direct exit outside. All resident bedrooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. There is no staff room so the facility will have awake night staff only. All rooms were free of odors. All window screens were clean and maintained in good repair.
There are two restroom for resident use. There is one restroom located in the common hallway and one private restroom in bedroom #4. The resident restrooms have a shower with non-skid materials. The toilet and shower have grab bars. The hot water temperature was tested in both bathrooms and measured between 105.8 and 108.1 degrees F.
Resident and staff records, first aid supplies, and medications are centrally stored in locked filing cabinet which is currently located in Family room. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. Report continued on LIC 809-C. |