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25 | On 11/02/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Angelique Grandney. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) ambulatory of which (4) may be non-ambulatory and (1) bedridden elderly resident ages 60 and above. The facility is approved for six (6) hospice waiver. Currently, there is one(1) hospice resident.
The facility is a two-story structure located in a residential neighborhood. It consists of the following: five (5) residents' rooms, three (2) bathrooms, (4) staff rooms (1) staff bathroom, a living area, a dining area, a kitchen, a laundry room, a linen storage, an outside patio area, a garage used for storage. The second floor is mainly used for staff bedrooms.
LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A water temperature of 106.0 degrees F. A comfortable temperature was maintained in the facility 73 degrees F.
LPA observed the facility is furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained adequately. The fire extinguisher was charged, and smoke detectors and carbon monoxide were operable. A review of Medication Records Administration (MAR) was observed to be maintained in order and accurate.
Evaluation Report Continues on LIC 809-C |