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25 | Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with facility designee Harmeen Jhutti. Administrator Certification was confirmed during the visit. Census: 6 - 5 Residents were present during the visit.
During this visit, LPA toured the facility inside & out. Resident rooms are found to be in good repair and contained required furnishings and lighting. The resident bathroom was clean and in good repair with faucets delivering hot water within required limits, grab bars and non-skid mats were in place. LPA observed required hygiene items, towels, extra bedding, and linens were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply and paper product storage as well as emergency preparedness supplies. Cleaning/disinfecting supplies, knives and sharps are locked and stored separate from food. Medications are locked and centrally stored in a hallway closet. The First aid kits contained required items. There are visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. The Fire extinguishers were serviced 1/4/2024 by Midstate Co.. Smoke and Carbon Monoxide detectors were tested and found to be in working condition. LPA conducted staff and resident file reviews including a medication audit. Emergency Disaster Plan and Infection Control Plans were reviewed during this visit and found to be updated.
There were no citations during this inspection.
An exit interview was conducted and a copy of this report was provided to Harmeen Jhutti, whose signature confirms receipt.
LPA requested the following updated forms faxed to CCLD by 5/20/2024: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Emergency Disaster Plan (LIC610E, Client Roster (LIC 9020), Proof of current Liability Coverage. |