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25 | On 8//22/23 Licensing Program Analyst (LPA) M. Garza arrived for an unannounced annual inspection visit. LPA was met by Program Director, Claudia Gonzalez. LPA introduced self, explained reason for visit and was permitted entry into the facility.
No clients present at time of visit. LPA toured the facility inside and out. Facility has two separate buildings. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors present and on a fire system. Fire extinguisher last serviced 04/05/23. Last fire drill on 08/07/23.
Facility does not handle medications/money for clients. LPA observed sufficient seating under covered patio area. Water temperature measured at 118 degrees F in kitchen and restroom #1.
The following issues observed during visit: Chemicals observed inside a supply room with keys hanging in the door and unlocked. Staff immediately closed and locked. Tools observed on the side of the storage shed in the back of the facility. Staff placed tools inside and secured.
LPA requested the following documents to be submitted to CCL by 8/30/23: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file.
No deficiencies cited during inspection. TA's provided for sharps, tools and chemicals. Due to time constraints, LPA will return at a later date for an annual continuation. Exit interview completed with Program Director, Claudia Gonzalez. A copy of this report was provided. |