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25 | Licensing Program Analysts (LPAs) Debbie Palacios and Sara Martinez made an unannounced visit tot he facility to conduct a 1 year required inspection. LPAs were greeted and granted entry by Caregiver Lani Mercado. LPAs explained the purpose of the visit. Any Swagerty, Licensee arrived shortly after LPAs arrival.
LPAs conducted a tour of the facility. The facility is a single story home consisting of 5 bedrooms, 2 bathrooms, kitchen, living room and a garage. The facility was observed to be clean, and free from obstructions in the passageways. The facility was observed to have personal protective equipment (PPE) supplies located in the garage. The medications were observed to be locked and inaccessible to residents in care, and to be given as prescribed. There are no known guns or ammunition on the premises. The facility was observed to have multiple smoke and carbon monoxide detectors that were tested and observed to be operable. The facility has a record of emergency disaster drills being conducted on a quarterly basis.
LPAs conducted a review of resident files and observed for the required documentation to be present. Staff record review, all staff present were observed to have obtained criminal record clearance and to be associated to the facility. LPAs toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. LPAs observed a hallway cabinet filled with clean towels, blankets, and linen, available for the residents. LPAs toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPAs observed knives and sharp instruments secured in locked kitchen cabinets. Cleaning solutions and disinfectants are secured in a locked laundry room cabinet. LPAs also observed one (1) charged fire extinguisher mounted throughout the facility. Medications are secured in a locked cabinet stored in the kitchen.
LPAs reviewed the Medication Administration Record along with the physical medications for three (3) residents and did not discover any discrepancies. LPAs reviewed residents files and observed that the files contained signed admission agreements and updated physician reports. LPAs reviewed the facility's Emergency and Disaster Plan as well as the Infection Control Plan. Exit signs, emergency contact information, Resident's personal rights, and complaint information are visibly posted on the dinning room wall.
During today's visit, LPAs did not observe any issues or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided to Licensee Any Swagerty |