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25 | On 6/25/2024 at 12:20PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Director of Operations, Angel Lee and explained the purpose of the visit. The facility’s fire clearance was approved for 85 non-ambulatory of which 48 may be bedridden.
LPA toured the facility with Director of Operations including but not limited to 6 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 109.3, 117.8, 111.0 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Freezer temperature measured at 0 degrees F and refrigerator measured at 40 degrees F.
Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguishers was last serviced on 6/20/2024. Emergency Disaster Plan was last posted on 6/13/2024. First aid kit was observed to be complete. Fire drill was last conducted on 5/25/2024.
At 1:00pm, LPA reviewed 6 residents records. At 2:00pm, LPA reviewed 7 staff records and 6 of 6 have current first aid training and associated to the facility.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. |