Routine inspection·January 16, 2025

On 1/16/2025 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Lily Pena. LPA explained the purpose of the visit. LPA toured the facility inside and outside including resident rooms and kitchen area. LPA observed residents resting in their bedrooms and other residents are having an activity in the living room. While touring the facility it was observed that the room temperature was at 71 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps in the kitchen have a lock box accessible by code and toxic materials were observed locked. Food supply in kitchen was observed with an adequate two day perishable and seven day non-perishable. Carbon monoxide/ smoke detectors, sprinklers, and fire extinguisher were present throughout the facility. Emergency drills are done every quarter. Five resident records and four staff records were reviewed. Staff have criminal record and fingerprint clearances on file. Staff have current First Aid/CPR certifications on file. Resident records were reviewed and were observed to be complete with documents such as Admission Agreements, Medical Assessments, and Needs and Service Plans. Centrally stored medication was locked in the medicine cart and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated. LPA received the following documents: updated LIC610, Administrator Certificate, Liability Insurance and Resident Roster. No deficiencies being cited today. Report is reviewed and copy is provided.