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25 | At approximately 12:30 PM, Licensing Program Analyst (LPA’s) Shannan Hansen and Jacqueline Macias conducted an unannounced Annual Required inspection to this facility and met with Program Director, Ashley Barrett. At approximately 12:45 PM, LPA's toured the building and grounds with Program Director which was found to be clean and in good repair. LPA's observed all walkways and exits to be unobstructed. Hot water at kitchen and client restroom faucets was within regulation between 105 and 120 degrees F. Bathroom supplies were sufficient. Toxins were safely stored locked under the kitchen sink & in locked cabinet in washroom. There were currently no Medications at facility but there is a secure space to store. Fire extinguishers are charged and current, last inspection 9/14/2023. Carbon monoxide detectors were tested and found to be in working order. Smoke detectors are hardwired and are tested every 3 years, with the last inspection in June 2021.
At approximately 1:10 PM, LPA’s reviewed 4 staff and 6 client records. Records were well organized and contained the required documentation. First aid and CPR certification was current. P & I monies were documented, secure and not commingled. Client files were found to be thorough and contain current client care assessments and individualized Service Plans.
Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 5/17/2024:
LIC308 – Designated Administrator (if changed)
LIC309 - Administrative Organization
LIC400 - Affidavit Regarding Client/Resident Cash Resources
LIC 401- Surety Bond
LIC 500- Personnel Report
LIC610D - Disaster Plan (if changed)
No deficiencies were found in the areas inspected, No citations issued during today's visit. |