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25 | On 11/17/23 Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA spoke with with Administrator, Veronica Santana (ADM) via telephone and explained the purpose of the visit. ADM was not able to return to the facility this afternoon. ADM gave permission for care staff to sign the report. The facility’s fire clearance was approved for 11.
LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 6 bedrooms can be occupied by the clients. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 72-degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the kitchen sink was measured at 110-degree Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. There is a minimum of one-week supply of non-perishables and 2-day perishables food supply.
Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 3/3/23. First aid kit was observed to be complete.
LPA reviewed 4 of 4 clients’ records and they were complete. Staff records were not available due to the administrator being away from the facility with a client at the hospital. LPA will return at a later date to complete the inspection.
No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided. |