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32 | LAUNDRY/STORAGE ROOM: Washer, dryer, and laundry supplies were observed inside the locked laundry/storage room by the kitchen, inaccessible to residents. Cleaning solutions, emergency food and water, and additional incontinent care supplies were observed in the storage area.
OUTDOOR SPACE/GARAGE: LPA observed the back patio which has a covered outdoor area for resident use. Passageways were free and clear from obstruction. There is a locked and gated pool, inaccessible to residents. LPA observed the detached locked and inaccessible garage. The garage contains additional supplies, refrigerator, freezer, and laundry unit.
MEDICATION REVIEW: At 02:13PM, LPA reviewed medications for two (2) residents. Medications are centrally stored in a locked filing cabinet in the living room. All medications including PRNs were labeled, stored, and locked inaccessible to residents. No errors observed during medication review.
RECORD REVIEW: Beginning at 02:30PM, LPA reviewed six (6) out of six (6) resident files and four (4) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All resident and personnel files were in order. During the visit, LPA obtained copies of valid liability insurance, LIC 500, and resident roster.
INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan was reviewed and updated during the visit. Emergency drills are conducted quarterly as required with the last drill conducted on 02/18/2026.
No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.
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