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25 | On 07/01/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with Administrator, Sarvejeet Bhandal and explained the purpose of the visit.
LPA and Administrator toured the interior and exterior of the facility. Areas toured include but are not limited to: common areas, residents' bedrooms, bathrooms, kitchen, garage and backyard. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. 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, cleaning supplies and knives are locked and inaccessible to residents in care. The hot water temperature was measured in the kitchen at 119.1 degrees Fahrenheit. The temperature in the facility was 74 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 05/20/2024. LPA observed medications to be locked and inaccessible to residents in care.
LPA reviewed a total of three (3) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed a total of one (1) staff record. Staff has training in infection control, first aid, and other various areas of care provision.
LPA requested Administrator to send updated copies of the following by 07/08/24 to LPA
- LIC308- Designation of Administrative Responsibility
- Liability insurance
- Administrator Certificate
No deficiencies being cited during today's inspection.
Exit interview conducted and a copy of the report was left at the facility. |