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The facility has internet service but does not currently have telephone service or an internet access device for resident use. Licensee Applicant agreed to obtain a designated phone and phone service for the facility as well as an internet access device for resident use. Facility has a designated area with locked cabinets for centrally stored medications and resident, staff, and facility files. LPA observed the facility's infection control plan, first aid kit, PPE, other emergency supplies, and games available for resident use. LPA informed Licensee Applicant that the facility shall increase it's PPE supply and post an activity schedule for residents viewing.
Facility has one fire extinguisher, which was purchased in January 2024 and is fully charged. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Licensee Applicant has posted hard copies of the required emergency disaster plan and maps, admissions agreement, theft and loss program, personal rights information, and reporting posters in facility communal areas. LPA informed Licensee Applicant that visiting hours shall be posted as well. Licensee Applicant will begin hiring additional staff once license approved and NBRC approves the facility's vendor application. Licensee is aware of the association and staff transfer process. Licensee Applicant provided LPA with a copy of the facility's lease agreement, affidavit regarding client resources, and surety bond. Licensee Applicant to submit proof of liability insurance.
The backyard features paved walkways and a patio with shaded seating for resident outdoor use. Windows and blinds are all found to be in good repair and facility exits are clearly identified. LPA observed bedroom #4 missing a window screen and bedroom #3 requiring a new one. LPA informed Licensee Applicant of the need to remedy this before the follow-up pre-licensing visit, which will be scheduled at a later date.
Component III orientation was conducted with the Licensee Applicant at facility. Licensee/Applicant conveyed knowledge and understanding of Title 22 regulations. Today's pre-licensing evaluation has been completed, and a follow up visit is needed to verify all identified deficiencies are remedied.
Applicant to submit proof of correction (POC) for each technical assistance issued today via form LIC9102 before LPA will schedule follow up inspection.
Exit interview conducted with Licensee, whose signature on this document confirms receipt. |