Routine inspection·August 22, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Avondale Family Care Home II. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents of which 4 may be bedridden. Facility has an approved hospice waiver for 5 residents and the home currently has 1 resident on hospice. Administrator Tess Navarra arrived during the visit. Administrator Tess Navarra has an administrator certificate valid until 04/14/2025. LPA Lyman along with Administrator Tess Navarra toured the facility at 10:00 AM. LPA toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The home consists of four resident bedrooms, 2 common restrooms, resident restroom, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.9 and 110.6 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. Auditory exit alarms were operational during today's visit. First aid kit had all the elements including thermometer, tweezers and scissors. LPA observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and Carbon Monoxide detectors tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPA observed a pool secured by a fence. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan and infection control and plans are thorough and complete. CONT ON LIC809-C DATED 08/22/2024. Facility provided documentation of last fire drill conducted in June 2024. Facility provides activities in the form of exercise, and games. LPA reviewed five resident files and two staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation as well as CPR training and criminal record clearance. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Medications are being administered per physician order and medications are audited weekly. Based on the observations made during today's visit, NO citations are being issued. Exit interview conducted and a copy of this report was left at the facility.