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25 | Licensing Program Analyst (LPA) Zabel Chochian conducted a Required Annual visit. LPA met with Licensee/Administrator Maria Mendez and staff. Reason for the visit was explained.
Beginning at 2:45pm, LPA with the assistance of the Licensee took a tour of the physical plant. Required postings were observed in the living room and hallway. Dual smoke and carbon monoxide detectors are hardwired and was functioning properly during the visit. Fire extinguisher observed charged/serviced 7/12/24. Bedrooms: There are four bedrooms designated for residents' use. All bedrooms were properly furnished and had sufficient lighting. There was appropriate bedding and linens. There is a staff room that is kept locked when not in use. Bathrooms: There were two bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 106.5*F degrees Common Areas: These included the living room and dining area which were observed properly furnished. Auditory alarms on all exit doors were on and functional at the time of the visit. Medications were locked in a cabinet in the office/kitchen area. Surrounding Grounds: Entry/exits were free of obstruction. The laundry area is in the garage. Cleaning supplies and detergents are stored in locked cabinets in the garage. Kitchen: The kitchen appliances and fixtures observed functional. Observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food at the facility; properly stored. Knives observed stored in a locked drawer in the kitchen. Resident Files: All resident files reviewed at 3pm. Resident files included a current medical assessments, appraisals, consent forms, and admission agreements. Staff
Files: Reviewed at 3:45pm. Files included current first aid certifications and training documentation. All staff have criminal record clearance and are associated to this facility. Medications: Reviewed at 4pm. Files included medication administration records and centrally stored medication logs. Medications and logs were consistent. First aid kit observed complete. PPE supply observed sufficient for at least three weeks.
No deficiencies will be cited at today's visit. Exit interview conducted, copy of report issued. |