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25 | On 4/09/2024 at 7:15 AM, Licensing Program Analysts (LPAs) A. Gomez and A Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Michael Jones and explained the purpose of the visit. Administrator, Christopher IBHAWO arrived at approximately 8:42 AM The facility’s fire clearance was approved for 3 Ambulatory. All residents were at Day Program
LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 3 total bedrooms which 3 bedrooms are occupied by the clients and 0 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 108.2 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygienes were 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 2/15/2023. LPA advised administrator that fire extinguisher needs an update. Emergency Disaster plan was last posted on 12/10/2023. First aid kit was observed to be complete. Fire drill was last conducted on 1/13/2024.
At 8:00AM, 3 of clients records were reviewed. LPA advised administrator to get LIC627C filled out in residents files. At 8:30AM, 3 staff records were reviewed and 3 of 3 have current first aid training and associated to the facility. Surety bond covers the P&I amount.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided. |