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25 | Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Administrator Jeremy Bagaoisan. The facility's license shows a maximum capacity of six (6) elderly residents, ages 60 and above, five of whom might be non ambulatory and one bed ridden. Hospice waiver approved for four (4).
LPA arrived at 9:15 am, facility looks clean and in good repair. LPA and Administrator toured the facility, the interior and exterior and inspected five residents’ rooms, two bathrooms and the garage. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were personalized by the clients. Doors, windows, screens, toilets, and showers were in working order. Extra linen and hygiene supplies were present, as well as Personal Protective Equipment which was stored along with the medication. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days of non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Toxic chemicals or poisons were locked and not accessible to clients. Medications were labeled, as required, and stored in locked areas. No bodies of water or fireplaces on the premises. Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.
[CONTINUED ON LIC 809-C]
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