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25 | Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explained the purpose of the visit. Administrator, Cheryl McCraw arrived a few minutes later. No resident were present during this visit.
The residence was set at 67 degrees F temperature and free of passageway obstructions inside and outside. LPA observed three bedrooms in the residence. Three of the rooms were found to be clean and furnished.
Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked next to the kitchen. PPE is stored in their medication closet Smoke detectors and carbon monoxide were checked and operating. Fire extinguisher was last serviced on 5/12/2023. There is outdoor seating.
An exit interview was conducted, and a copy of this report was provided to Administrator, Cheryl McCraw whose signatures confirms receipt.
During the visit, a file review was conducted for clients and staff files.
LPA requested the following updated forms faxed to CCLD by 02/09/23: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Affidavit Regarding Client/Resident Cash Resources (LIC 400), Emergency Disaster Plan (LIC610E), Personnel Report (LIC 500), Client Roster (LIC 9020), Proof of current Liability Coverage.
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