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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA explained the reason for the visit. Facility is a single story home with 7 bedrooms (1 is for staff) and 7 bathrooms, kitchen, dining room, living room with a screened fireplace and a two car garage. The garage is used for storage and kept locked. LPA observed the See Something, Say Something poster posted in the entry way of the facility. LPA and the Administrator toured the facility. LPA observed all bathrooms are clean and operational. Hot water measured 112.0 degrees Fahrenheit to 115.0 degrees Fahrenheit. LPA observed the kitchen is clean and organized. LPA observed a two day perishable and a 7 day non-perishable food supply on hand in the kitchen. The knives are kept locked in a kitchen drawer. Cleaning supplies are kept locked under the kitchen sink. LPA observed the medication is kept locked in the hall closet. The fire extinguisher in the kitchen is fully charged. The smoke detectors and carbon monoxide detector tested operational. LPA and the Administrator toured the resident rooms. All resident rooms had the required furnishings. LPA toured the garage. The garage is used for extra supplies and emergency food and water. The garage is kept locked. LPA toured the backyard. There is a raised fountain in the backyard. LPA observed a shaded seating area with tables and chairs to sit outside. Both exit gates are operational. No obstacles or hazards observed in the backyard. LPA reviewed 3 staff files, all staff are background cleared and associated to the facility. All staff had the required training including CPR training. LPA reviewed 5 resident files, no discrepancies observed. LPA reviewed 5 resident medications and medication records. No discrepancies observed. LPA inspected the first aid kit, the first aid kit has all the required elements. LPA verified the facility has WiFi. LPA verified with the Administrator that the facility does not have an internet device dedicated for internet use. LPA consulted with the Administrator concerning reporting requirements and resident rights. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided. |