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25 | On 02/10/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection utilizing the inspection tool. LPA met with staff Hyacinth Morris.
Staff and LPA conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to: resident bedrooms, bathrooms, kitchen, common areas and the backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. The hot water temperature was measured at 106.7 degrees Fahrenheit in the kitchen sink which is within the required ranged of 105 to 120 degrees Fahrenheit. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed the fire extinguisher located in kitchen last inspected on 08/27/24. LPA observed required Licensing posters posted throughout the facility.
LPA reviewed four (4) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed.
LPA requested for Administrator to email LPA a copy of the LIC308 and Liability Insurance by 02/14/2025.
No deficiencies being cited during today's inspection. Exit interview conducted and report provided. |