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25 | On today's date 03/25/24, Licensing Program Analyst (LPA) Javina George conducted an unannounced Health and Safety check at the facility. LPA was greeted and granted entry by Licensee Janette Racelis, and explained the purpose of the visit. At the time of LPAs visit there were two (2) staff and five (5) resident's present. Both staff were observed to have obtained criminal record clearance and were associated to the facility. The facility has an approved hospice waiver for four (4) residents. The facility continues to have three (3) residents that are under hospice care.
LPA conducted a tour of the interior and exterior of the facility. The facility has five (5) residents bedrooms and (2) staff bedrooms and 4 bathrooms. LPA observed for the driveway repairs to have been completed. The driveway is now at an even level.
The facility was observed to have operable utilities (electric, water, gas). LPA observed for the facility food supply to meet with minimum requirements of a 2 day supply of perishable and 7 day supply of nonperishable food items. LPA observed for there to be some expired box food items, that were discarded at the time of LPAs visit. As a result of the items being discarded no deficiency was issued.
The resident's medications were observed to be locked and inaccessible to the resident's in care. The new cycle of medications have not been received as per Ms. Janette, they are usually received 3 days before the month ends.
An exit interview was conducted, and a copy of this report, and LIC 811 was discussed and provided to Licensee Janette Racelis. |