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25 | On 03/19/2025 at 1:00 p.m., Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced annual visit and was greeted by the Administrator, Shawn Lakhanpal. LPA stated the purpose of the visit. The Administrator stated there are no residents living at the facility. LPA Rios toured the facility and did not observe residents in the facility.
LPA accompanied by Administrator began the physical plant tour of the facility inside and out at 1:04 p.m. LPA toured four (4) resident bedrooms of which two may be shared and observed all resident bedrooms were furnished with a bed, linens, lamp, night stand, and chair. LPA observed the common areas such as the dining room and living room clean and clear of clutter. The furniture in the facility was observed clean and in good repair. LPA observed a cabinet that is able to lock that will store residents' records and medications. LPA observed a fully charged fire extinguisher in kitchen area. The facility has a first aid kit with manual. LPA observed the administrator test smoke detectors that are interconnected and a carbon monoxide detector at approximately 1:05 p.m. LPA observed the detectors were operable. The facility has three (3) bathrooms accessible to residents and were observed to have toilet paper, hand soap, and paper towels. LPA measured the hot water temperature at 1:24 p.m. in one bathroom and it read 116.4 degrees Fahrenheit, within regulation. LPA's tour of the backyard and side yard, observed there is shaded area for clients with patio furniture. Passageways were clear of hazards.
LPA reviewed the administrator's certificate and 1st aid /CPR certification. Review revealed administrator certification is active and current.
There were no deficiencies observed at this time. Exit interview was conducted and a copy of the report was given to the Administrator. |