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25 | On today date, Licensing Program Analyst (LPAs) K. Nguyen and L. Holmes arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with facility Wanda Sheppard and explained the purpose of the visit.
LPAs toured facility with including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. The hot water temperature in the clients’ shared bathroom was measured at 105.7 degrees Fahrenheit. Clients’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to clients.
Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 12/13/2023. Emergency Disaster Plan was last posted on 1/1/2024. First aid kit was observed to be complete.
LPAs reviewed 4 clients records. LPAs reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. LPAs reviewed a sample of resident’s medications.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided via email.
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