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25 | Licensing Program Analyst (LPA) Cynthia Chan conducted a follow up visit to continue the annual inspection. LPA met with Administrator, Silvia Castro. The initial visit was on 1/31/25.
During the visit today, LPA inspected the rest of the domains of the CARE tools.
Staffing: Per the administrator, there is sufficient staffing at the facility and backup staff if needed. Staff employed have fingerprint clearance and associated to the facility.
Personnel Records-Training: LPA reviewed 3 staff files and all documents are in file. Staff have current CPR/first aid training and sufficient on-going training that meets the annual requirement.
Resident Records-Incident Reports: LPA reviewed 6 resident files and the following documents are found - admission agreements, Identification & Emergency Information, Physician's Report, Consent forms, Resident rights, Safeguards for Property/Valuables form.
Resident Rights-Information: The Complaint poster, Local Ombudsman, and Residents personal rights are posted.
Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are
sufficient supplies and equipment to meet resident's physical/mental capability. Staff encourage residents to participate in activities.
Incidental Medical & Dental: The medications are centrally stored and locked in the cabinet. All 6 resident medications were reviewed and marked in the Medication Administration Record (MAR) log when given.
Resident with Special Needs: There are currently no residents with any prohibited or restricted health conditions or using oxygen.
No deficiencies are issued today. An exit interview was held and a copy of this report was given to the administrator. |