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25 | Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA explained the purpose of the visit and was granted entry by caregiver staff (S1) Vanessa Quinonez. A phone call was placed to House Manager, Virginia Jimenez (S2), who later arrived at the facility. This annual visit was completed with S1 and S2, as approved by Administrator, Elizabeth Perera.
The residence was set at 77 degrees F temperature and free of passageway obstructions inside and outside. LPA observed resident bedrooms, only 4 are currently occupied. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 120 degrees F. Home has two hot water heaters.
Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Knives are kept locked in the kitchen area. Medication is kept locked in the medication storage office. Cleaning supplies were locked in the laundry room and storage room. Smoke and carbon monoxide detectors were observed, they were checked and operating. Fire extinguisher was charged and was serviced on 12/06/2024. First Aid kit is fully equipped and kept in the kitchen area.
Outdoor area was clean and free of obstruction.
An exit interview was conducted, and a copy of this report was provided to S2 whose signature confirms receipt.
LPA requested the following updated forms faxed to CCLD by 02/18/2025: Personnel Report (LIC 500), Proof of current Liability Coverage. |