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25 | On 08/15/2023, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured facility with Administrator Arlene Bautista (certification number 6024205740 and expiration date 01/04/2025).
Facility has one entrance/exit point. LPA toured facility with Administrator inside and out.
The facility was observed to be at a comfortable temperature, of 78 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. Department phone number and infection prevention information signs were posted thought the facility.
Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.
Fire extinguisher was observed with a service date of 07/15/2023 All residents’ bedrooms were observed to be with comfortable temperature. Residents bathroom was observed, hand washing signs posted, trash can have lid, and water temperature was tested and recorded reading of 107 degrees F.
Medications observed to be locked in a cabinet in the hallway. LPA reviewed MAR, it appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An outdoor seating area was observed for residents in care.
LPA reviewed Staff and Resident files. Resident files observed to have update information.
No deficiencies were observed. Exit interview conducted.
Report was signed and copy of this report was provided for facility records.
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