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25 | Licensing Program Analyst (LPA) Albert Johnson arrived on 3/4/2024 unannounced to conduct an annual inspection. LPA met with Administrator Mothanna Saleh.
Facility is a 6 bed residential care facility for the elderly (RCFE) with a current census of 5. Facility has 4 bedrooms and 2 bathrooms for resident use. There is a dining area off the kitchen. LPA also conducted the infection control domain tool.
LPA and Staff inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. LPA and Staff measured the hot water temperature in residents bathroom at 112.5 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees.
Fire extinguisher and Smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. medication logs. LPA, and Staff reviewed 5 resident and 2 staff files. First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility. The facility conducts fire/disaster drills with residents on 1/2024. Exit interview conducted |