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25 | Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Kennedy Wainaina.
At approximately 1:00pm LPA toured the building and grounds. The facility was found to be exceptionally clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked.
All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were remarkably clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 107.2 degrees F which is within the allowable range of 105 to 120 degrees F.
Fire extinguishers were last inspected 3/20/2024. Smoke/Carbon Monoxide detectors located throughout the facility are operational. Facility’s last quarterly disaster drills were conducted on 9/1/2024. Facility has a backup generator for use during a power outage.
At approximately 1:30pm LPA conducted review of 4 staff records. All required documentation present. At approximately 1:45pm LPA conducted a review of 4 resident records. All required documentation present. At approximately 2:15pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies
Kennedy Wainaina Administrator Certificate 7025718740 expires 6/30/2025. All fees are current.
Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report and Liability Insurance
No deficiencies cited. |