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25 | Licensing Program Analyst (LPA) Maldonado conducted an annual required visit. LPA met with Administrator, Joel Villalva and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed residents' medications, observed food supply, and reviewed staff files.
The facility cares for elderly residents with dementia and is allowed to care for two (2) hospice residents. LPA observed all resident bedrooms to have the required furniture, bedding, linens, sufficient lighting, closet space, and additional storage space. (2) resident bathrooms were observed to have a shower, toilet, and wash basin. The showers accommodate non-ambulatory residents and have the required grab-bars and non-skid mats. The water temperature was tested and measured at 114*F, which is in compliance. The food supplies was observed to be the required 2-day perishables and 7-day non-perishables. Several fire extinguishers were observed throughout the facility. They had current inspections and were fully charged. All sharps were observed to be locked and inaccessible in a drawer in a kitchen drawer. Other cleaning supplies were locked and inaccessible, stored in a cabinet in bathroom# 2 and underneath the kitchen sink. All equipment was operational and in good repair. Additional linens were observed in the garage and in good repair. The smoke/carbon monoxide detectors were tested, were interconnected and operational at the time of the visit.
All resident files were reviewed and had updated emergency contact information and health screenings. (3) staff files were reviewed and had Criminal Background Clearances, health screenings, and proof of required annual training and certifications. All client medications were reviewed. They are documented properly and given as prescribed.
(Report continued on LIC809-C...) |