Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the annual inspection. LPA met with Staff, Taren Mente. The initial visit was held on 2/20/25.

During the visit today, LPA inspected the remaining domains of the CARE tools.

Staffing : There is sufficient staffing at the facility and backup staff if needed. Staff employed have fingerprint clearance and associated to the facility.

Personnel Records-Training : LPA reviewed 3 staff files and all documents are in file. Staff have current CPR/first aid training and sufficient on-going training that meets the annual requirement.

Resident Records-Incident Reports: LPA reviewed 3 resident files and the following documents are found - admission agreements, Identification & Emergency Information, Physician's Report, Consent forms, Resident rights, Safeguards for Personal Property/Valuables form.

Resident Rights-Information: The Complaint poster, Local Ombudsman, and Residents personal rights are posted.

Incidental Medical & Dental: The medications are centrally stored and locked in the cabinet. Resident medications were reviewed and marked in the Medication Administration Record (MAR) log when given.

Resident with Special Needs : There are currently no residents with a prohibited or restricted health condition or using oxygen.

Disaster Preparedness: The facility has an Emergency Disaster Plan posted with contact numbers and at least 2 relocation sites. LPA provided a technical advisory for disaster drills.

No deficiencies were issued today. An exit interview was held and a copy of this report was given to the administrator.