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25 | Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The
facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the
purpose of the visit with Administrator Mariza Oliva. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory, one of which may be bedridden.
LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Bathroom with double vanity had one sick out of order and the working sick faucet was loose and not easy to control. Administrator states plumber is scheduled to fix both issues.
The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities.Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications labeled and locked as required.
No pool or body of water was present. Water temperature was measured at 106 degrees F. Per Mariza, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit was complete.
Resident records reviewed contained required documentation. Staff records reviewed did not have current first aid training in three of three records or CPR training for any of staff.
Two deficiencies were cited on today's visit for First Aid/CPR training. One technical violation was issued for sinks and faucet. An exit interview was conducted with Administrator, to whom a copy of this report,(LIC9099-x2) and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit. |