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25 | Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced Health and Safety check at the facility. LPA was greeted and granted entry by Administrator, Janette Vega Racelis and explained the purpose of the visit. At the time of the visit there were two (2) staff and five (4) resident's present. Both staff were observed to have obtained criminal record clearance and were associated to the facility. Both staff are licensee and have administrator's certificates. The facility has an approved hospice waiver for four (4) residents. The facility now has two (2) residents that are under hospice care. A resident on hospice care passed away on June 12, 2024. LPA obtained the incident report, reviewed resident documents, and interviewed staff.
The facility was observed to be operating within the capacity in which it was licensed for. The utilities were operating and facility food meet the department requirements. The facility has hygiene supplies and PPE supplies. The facility resident were observed in their rooms and the facility common areas. The resident's medications, cleaning supplies and sharps were locked and inaccessible residents. LPA spoke with administrator any incidences that have occurred since the last department visit where they had to call 911 for assistance. Per Administrator Janette there has not been any instances where emergency medical personnel assistance has been needed, and reporting requirements would be followed should the need arise. During today's visit no health and safety concerns were observed.
An exit interview was conducted, and a copy of this report, and LIC 811 was discussed and provided. |