Routine inspection (multi-day)·September 4, 2024

On September 4, 2024 at approximately 11:00 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Eagle Lake Village for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Prospective Administrator, Anthony Faulkner, and was granted access into the facility. LPA and Prospective Administrator toured the facility. LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on March 2024 at the time of the inspection. All smoke detectors sound directly to the fire station. Water temperature in facility measured at 106 degrees, within acceptable range of 105 to 120 degrees F. Food menu was presently available for viewing during the inspection. Medications were centrally stored and locked. Medication orders were reviewed. Cleaning products and other toxins are located in the laundry room that was locked and inaccessible to residents in care. There was a supply of linens, cleaners, hygiene products and paper products available for residents. All bathrooms designated for residents in the common areas at the facility were supplied with individual paper towels and hand soap. First Aid kit was inspected and found to be appropriate during the inspection. LPA reviewed resident files and found that 2 out of 5 resident files did not have an updated LIC 602/Physician Assessment (See LIC 9102-Technical Violation). Prospective Administrator was under the impression that residents are supposed to be reappraised once every five years. LPA educated the Prospective Administrator and reviewed Regulation 87463(c)-Reappraisals. LPA reviewed staff files and found those to be appropriate. First Aid/CPR Card valid for staff that provide care and supervision to residents in care. LPA reviewed staff training and observed that 3 out of 5 staff members did not have the required training annually (See LIC 9102-Technical Violation). LPA educated the Administrator on the importance of every staff member shall have annual training as outlined in Title 22 regulation. (Report continued on LIC 809C) LPA requested the following documents to be sent: LIC 500- Personnel Report LIC 308- Designation of Facility Responsibility LIC 309- Administrative Organization Updated Infection Control Plan Most up-to-date Liability insurance Emergency Disaster Plan Control of Property Register of residents No deficiencies were cited during today's Required 1 year inspection. Exit interview was conducted and a copy of this report was signed and given to the Administrator.