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25 | On 8/23/24 Licensing Program Analyst's (LPAs) Valerie Flores, Ferrer Sabarias and Abdoulaye Zerbo conducted an unannounced one (1) year required visit. LPA's were granted entry by caregiver, Mayra Nunez, who was informed of the purpose of visit. At the time of the visit there were two (2) staff, two (2) Licensee's/Administrators and four (4) residents present. All staff present were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA's observed the following during today's visit:
LPA's conducted a tour of the facility with staff member, Mayra. The physical plant is a single-story structure that contained six (6) resident bedrooms and five (5) bathrooms. The facility has a dining room, kitchen, living room, and a gated backyard. Indoor and outdoor passageways were free of obstruction. There were no bodies of water located on the property. The facility has more than a two (2) day supply of perishable foods and seven (7) day supply of non-perishable foods. Water temperature measured at 109.8-degree Fahrenheit meeting within the required limits. Dishes and utensils were in sufficient supply and in good repair. Extra linen and towels were observed to be sufficient in supply and in good repair. Disinfectant, knives, and other sharp items were observed in a locked cabinet. According to staff, there are no firearms or ammunition on the premises. Resident bedrooms had the required bedding, furniture, and lighting. The dual smoke and carbon monoxide detectors were tested and were observed to be operable. Facility maintained the centrally stored medication in a locked closet near the kitchen.
Staff files reviewed included but not limited to criminal record clearance, required annual training's, and valid first aid/CPR certification. Resident files included but are not limited to signed admission agreements, appraisals, and physician reports. Medical records reviewed showed no discrepancies. Facility sketch, personal rights, see something say something and emergency disaster plan is posted in the hallway near the entrance. During today's visit, LPA's did not observe any immediate violations or concerns.
An exit interview was conducted, and a copy of this report was reviewed and provided to Licensee's, Joanne and Jamie Pantuso.
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