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25 | Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced case management – legal/non-compliance visit. The purpose of today’s visit was to ensure the facility is maintaining substantial compliance. LPA met with Administrator Madison Lewis and explained the reason for the visit. LPA focused today’s visit on ensuring there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations.
At approx 01:30pm LPA conducted a walk through of the facility. The furniture in the common areas were observed to be clean and in good condition. The facility maintained a comfortable temperature. LPA observed required postings throughout the common space. Stairwells were observed to have emergency evacuation chairs. There were no obstructions and/or tripping hazards throughout the facility. Emergency exiting plans/sketch are posted throughout the facility. LPAs observed four (4) randomly selected resident bedrooms in memory care and assisted living. All resident bedrooms were furnished appropriately and had sufficient lighting. All resident restrooms appeared clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. Fire extinguishers were observed fully charged and last serviced on August 13, 2024. The facility has a sufficient supply of perishable and non-perishable food. No obstructions or hazards were observed inside or out.
LPA reviewed Resident Records at 02:00 p.m. Five (5) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were observed in order at this time.
No immediate health and safety concerns observed during the visit. Exit interview conducted and report issued. |