Routine inspection·September 29, 2023

On 9/29/23 at 9:25AM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced required 1-year inspection and met with Rohini Chand resident coordinator. LPA explained reason for visit and toured the facility inside and out including but not limited to facility kitchen, hallway, activity area, dining room, bathrooms, outside area, and resident rooms. The hot water temperature in hallway bathroom measured at 111.4 degrees Fahrenheit and resident room #7 measured at 107.7 degrees Fahrenheit. The outside area is free of obstruction and bodies of water. Medications are centrally stored in a locked medication room that are only accessible by medication technicians. Facility freezer temperature was observed at 0 degrees Fahrenheit and refrigerator temperature was observed at 40 degrees Fahrenheit. Facility smoke and carbon monoxide detectors were observed as operational. The sprinkler system was last inspected on 7/27/23. Fire drill was last conducted on 7/2023. The fire extinguisher was last inspected on 3/2022. The first aid kit was observed to be complete. During record review, LPAs reviewed a sample of 5 staff records and observed 5 of 5 have health screening with TB test on file, and 5 residents have physician's report and care plans up to date. LPA reviewed 5 resident medications. LPA observed all resident medications were accurate with their doctor's orders. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.