Pre-licensing visit·September 7, 2021

On 9/7/2021 , Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct a pre-licensing inspection due to a change of ownership. LPA met with Nurse Avon Nguyen, Administrator Gerry Vadnais was called to inform the purpose of the visit, Administrator gave permission to LPA to conduct the inspection with Nurse Avon Nguyen. Facility has an approved fire clearance for 6 bedridden residents on any room on first floor and second floor and 74 non ambulatory residents. Last fire inspection was conducted on August 4,2021. LPA inspected the facility including but not limited to 7 resident rooms common areas, kitchen,activity room, dining and outside areas. Hot water measured at 117.2 degrees Fahrenheit. Fire extinguisher was observed around the common areas of the facility with inspection tags dated January 3 rd 2021. There was sufficient supply of perishable and non-perishable foods. First aid kit was complete. ....Continue to LIC809C.... LPA's observed the following during inspection: At 11:46 AM on room 317, R1’s medication was observed unlocked and accessible to R1. LPA confirmed via records review that facility is managing the medication for R1. At 11:54 AM on room 227 medication was observed on R2’s bathroom which was accessible to resident in care. At 11:57 AM on room 229 LPA observed poisonous disinfectant spray was found unlocked which was accessible to R3 or to resident in care. At 12:09 PM on room 106, LPA observed poisonous disinfectant was found unlocked which was accessible to R4 or to resident in care. . Component III was waived. LPA is not recommending facility for license until all deficiencies are cleared. This Pre-Licensing report will be submitted to the Central Application Branch (CAB) for review. Exit interview conducted with Applicant/nurse..