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25 | Licensing Program Analyst’s (LPA) Alyssa Ramirez conducted an unannounced 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 Executive Director Rebecca Toves
This facility serves one hundred fourty five, residents 60 and above. Hospice waiver approved for fifteen. During today’s inspection, facility has a census of ninety-six (96) residents.
LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected a sample of resident bedrooms. The facility was clean, sanitary, and in good repair. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment.
There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.
No pools or bodies of water were observed on the premises. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) & first aid kit were present. Required licensing postings were observed in visible areas of the facility.
LPA conducted interviews and reviewed staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents.
No deficiencies were observed or cited during today's annual inspection.
An exit interview was conducted with Toves to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
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