Routine inspection (multi-day)·January 16, 2025

On 01/16/2025, LPA Regina Cloyd conducted an unannounced annual continuation and met with Administrator Mylene Magpile. First Aid kit was available. Two fire extinguishers, last serviced March 20, 2024 was observed in the kitchen and garage area . Staff tested carbon monoxide detectors and smoke detector located near the kitchen and living room. Both devices were functional. On 01/15/25, five resident records were reviewed and, 4 out of 5 resident records had medical assessments. Two residents’ medication was reviewed. Five out of five staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. LPA reviewed the facility's emergency disaster plan and infection control plan. Deficiencies are being cited based on resident record review. On 01/15/25, LPA did not observe documentation for an annual routine visit or virtual visit for Resident #3 (R3). See LIC809-D. An exit interview was conducted, technical assistance provided, and plans of correction were developed. A copy of this report and appeals was discussed and left with the Administrator Mylene Magpile.