Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) Michelle Echeverria made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator, Daniela Manzat and was granted entry to the facility. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following:
The facility has 4 bedrooms, 2 bathrooms, kitchen, dining area, living room, family room, laundry room, office, attached garage, and backyard. LPA completed a walk through of the facility, review of records, P&I and medication audit.
Physical Plant:
The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 108.9 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher, and first aid kit. Posters such as; the personal rights, CCL complaint poster, ombudsman, and license were posted in a common area. Cleaning supplies, toxins, sharps, medications and other dangerous items were kept in secure cabinets inaccessible to residents. Residents/Staff files and P&I were observed locked and made inaccessible. The facility had emergency food and water for the residents. There are no bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.
Food Service
:
LPA observed 2 days of perishables and 7 days non-perishables food, pantry stocked and up to date. Facility has a variety of food available. Dishes, cups, and utensils were stored properly.
Yards/Outside:
One shaded patio and a side gate with self-latching handle on the right side of the house that leads into the backyard. All outdoor pathways were free of obstructions.
Care & Supervision:
Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.
Record Review:
LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. P& I and medication were audited and matched with record. LPA reviewed the emergency disaster plan, infection control plan, emergency drills and liability insurance.
No deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, and LIC809C, were discussed and copies were provided to Administrator, Daniela Manzat.
