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 | On 10/31/2024, Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by staff and explain the purpose of the visit. Administrator Angela Kutnerian (AD1) and Administrator Teresa Long (AD2) and arrived at the facility minutes after.
The residence was set at 75 F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 113.4 degrees F.
Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in the kitchen area. Cleaning supplies were locked in the laundry room. Smoke detectors and carbon monoxide are dual detectors, they were checked and operating. Fire extinguishers were charged and was serviced on 08/05/24. Emergency disaster drills are conducted quarterly, last drill completed on 09/01/2024.
There was outdoor seating for the residents. Outdoor area was clean and free of obstruction.
An exit interview was conducted, and a copy of this report was provided to AD2 whose signature confirms receipt.
LPA requested the following updated forms faxed to CCLD by 11/12/24 Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage. |