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25 | On 10/24/24 at 8:30am Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced himself, stated the purpose of the visit, and was greeted by Staff (S1) Melba Stoops . LPA was granted entry. 5 residents were present during inspection. Designee Mario Ramos (D1) was called and arrived shortly after LPA’s arrival.
LPA toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good condition, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -10 degrees F and refrigerator temperature was maintained at 36 degrees F. Samples of medications were checked and observed kept locked in the kitchen cabinet. Residents’ MARS was reviewed. Fire extinguisher was observed with a purchase date of 10/14/24.
Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms were toured and observed to be operational. Hot water temperature was tested at a temperature of 109 in resident bathroom 1, 112.4 in bathroom 2, and 115.7 degrees F in bathroom 3. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. First-aid kit observed with all of the required items. Fire drill completed on 10/10/24.
All residents and a sample of staff files reviewed to have all the required documents.
Continued on LIC-809C.........
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