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25 | On 11/22/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. There were no staff present upon LPA's arrival. LPA contacted Administrator via telephone, introduced self and stated the purpose of the visit. Facility staff arrived at the facility and granted LPA entry. Administrator, Mieshun Willis-Bryant arrived shortly after. LPA met with Administrator.
LPA conducted a facility tour with staff. Common areas were furnished with adequate lighting available. Kitchen toured and observed to be clean and safe for food preparation. Fire extinguisher observed to be last serviced on 12/12/2023. LPA observed an adequate food supply. Medications were observed to be locked and inaccessible to clients in care. Bedrooms toured and observed to have required furnishings. LPA observed an adequate supply of linens and hygiene products. Bathrooms were toured and observed to be operational. Hot water measured at 114.2 degrees F. Smoke detector and carbon monoxide detector observed to be operational during today's inspection. Exterior tour conducted. All exits open and free from obstructions, no fire clearance issues observed.
LPA reviewed facility records. Clients records were reviewed for required documents including IPP and physician's reports. Staff records were reviewed for required documents including health screen, fingerprint clearance, and medication training. Emergency disaster plan reviewed. Last fire drill was conducted on 10/28/2024. Medications reviewed and observed to be administered as prescribed.
No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Mieshun Willis-Bryant, whose signature on this form confirms receipt of this document.
LPA is requesting the following documents be submitted to the Fresno CCL office by 12/06/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020. |