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25 | Licensing Program Analyst (LPA) Jill Nakagawa conducted 1-year required inspection. There are four residents, all were at Day Program at the time of the inspection. There was one staff member at the facility at the time of inspection; Administrator was in a training class at the time.
LPA toured the facility with carestaff at approximately 2:17 PM. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. The facility was decorated for Christmas with two trees in the living room. The kitchen was clean and well organized but there were several insects found. Licensee has contracted a pest control company and set up non-toxic traps to eradicate the problem. Toxins and sharps for the kitchen are stored and locked in laundry room. There was an adequate supply of perishable and non-perishable food, which was stored appropriately and dated and bug-free. Medications were stored in locked medication closet making them inaccessible to residents and staff that do not handle medications. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Each bathroom had soap and paper towels. Facility has a sufficient supply of personal protective equipment (PPE). Facility has an Infection Control Plan. The fire extinguisher was serviced on 09/23/2024 and was fully charged. The carbon monoxide detector was tested and operational. The facility has a central fire alarm system. Fire drills are done monthly; the last one was on 11/15/2024. The water temperature was 117.1 degrees F.
LPA reviewed 4 of 4 resident files and found them to be complete. One resident's updated physician's report was not in the file. Administrator to submit to LPA by 12/17/2024. Personnel files will be reviewed at a later date.
No citations were issued at the time of visit.
Exit interview conducted with care staff member, Mae Ditchen |