1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Teresa Camara arrived at the facility unannounced to conduct a continuation of the required annual visit. LPA met with administrator Rose Marie Lopez and explained the reason for the visit.
During LPA's prior visit on 2/2/2024, LPA conducted a physical plant tour, health and safety check, and reviewed staff records. During today's visit LPA conducted interviews, reviewed records and medications.
RESIDENT INTERVIEWS AND RECORDS: LPA interviewed two residents; there were no concerns stated. LPA reviewed five residents' records. All records were complete with pre-admission appraisals, needs and services plans, physician reports, admission agreements, and emergency contact information. LPA reviewed medications which appeared to be given as prescribed.
STAFF INTERVIEWS AND RECORDS: LPA interviewed two staff who were all able to answer the questions appropriately; no concerns noted. During LPA's previous visit records were reviewed and all staff scheduled at the facility were fingerprint cleared and associated to the facility.
DISASTER PLAN: LPA reviewed the facility's disaster plan which appeared to be complete. The facility conducts quarterly evacuation drills with all staff.
No deficiencies were observed. Exit interview conducted. A copy of the report was issued. |