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25 | Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by staff Chuk and explained the reason for the visit today. Administrator (AD) Rosa A. Reyes, and Administrator (AD) Diana Manzano Velasco were both present for todays visit. LPA observed all required postings on the wall throughout the facility. AD Reyes has a current administrators certificate that expires on 04/11/2022. LPA was screened and temperature checked before entering the facility. At the entrance of the facility LPA observed a screening log book, and temperature thermometer for screening clients and visitors. AD Reyes led the tour of the facility. There were six residents in care at the facility, three were observed on the couch enjoying TV, and three others were observed relaxing or resting in their rooms. All appeared to be happy and well taken care of. LPA began the tour checking client rooms and bathrooms. Client rooms have the necessary requirements, night stand, chair, lamp and adequate storage space. Bathrooms were operational and clean. In Bathroom #1 LPA measured the water temperature at 117.6 degrees Fahrenheit, and in Bathroom #2 water temperature was measured at 107.2 degrees Fahrenheit. The kitchen was clean and well organized. The stove was clean and all four burners were operational. All knives and sharp objects were locked in a drawer. The facility has a two day supply of perishable food items and seven day supply of nonperishable food items. There was a first aid kit equipped with all required items locked in the medication closet in the kitchen. The facility has emergency kit prepared and an emergency supply of all necessary PPE. In the garage LPA observed an emergency food and water supply. The hazardous chemicals and toxins were also locked up and organized in the garage. LPA toured the backyard and observed both side exit gates of the house were self closing and self latching. LPA observed a shaded visitation area in the backyard equipped with tables and chairs for the residents in care. The backyard was free of clutter and there were no bodies of water observed. Wired smoke detectors were tested and are operational. No deficiencies are being cited during todays visit. An exit interview conducted and a copy of the report was provided to Administrator Rosa A. Reyes. |