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25 | Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 8:00 AM, LPA Tea was greeted and granted entry into the facility by administrator (AD), Nicole Giovani and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, with a hospice waiver for four. Currently there are three residents, of which one is on hospice during today's visit.
Around 8:00 AM, LPA Tea reviewed three resident files and one staff file. Resident files and staff file contained all required documentation. Upon review of records, the facility is up to date with required quarterly fire drill, which was last conducted in April 2024. AD Giovani’s current certificate expires on March 01, 2026, but due to the department’s back log in processing administrator certificates she has yet to physically receive her administrator certificate.
LPA Tea along with the administrator toured the facility at 9:25 AM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 7 bedrooms, which 6 are private resident bedrooms and one is for staff, which is kept locked, 2 full bathrooms and 1 half bathroom, living room, dining room, and kitchen. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured between 111 F degrees and 116.4 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit.
Annual continuation on LIC809-C |