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25 | On 02/10/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct an annual inspection. LPA met with Administrator Dyan Christine Chua-Harris and explained the purpose of the visit.
LPA and Administrator conducted a tour of the facility. Areas toured include but not limited to (4) resident bedrooms, bathrooms, kitchen, and common areas. 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 and cleaning supplies are locked and inaccessible to residents in care. LPA observed the fire extinguisher located in the hallway last inspected on 11/11/2024. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed medications to be locked and inaccessible to residents in care. 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, 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 are being cited as a result of todays inspection.
Exit interview conducted and a copy of the report was left at the facility. |