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25 | Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Maria Rangel and explained the reason for the visit.
The purpose of the visit is to complete the required inspection.
Shortly thereafter Administrator Samuel Semenea arrived.
LPA toured the facility along with Administrator Samuel Semenea today 1/23/2024 at 10:10 AM and the following was observed:
The facility has 6 private rooms, 2 bathrooms, 2 living rooms, kitchen with dining area, and detached garage. Laundry area, Emergency Supplies, Extra Food Goods, extra refrigerator and freezer are located in the garage inaccessible to clients. LPA observed front patio with shaded area and a backyard, there are no large bodies of water at the facility.
Annual Inspection includes the following Domains:
Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records-Training, Client Rights- Information, Client records- Incident Reports, Food Service, Health related services, Incidental Medical Services, and Disaster Preparedness.
Interviews were conducted with 2 staff and 2 clients.3 clients were at Day Program. 5 client files were reviewed and 5 staff files were reviewed. All staff were cleared and associated.
Medication was administered per physician's directions.
Signage for hand washing and proper sanitizing were posted. Staff have been trained in hand washing.
Licensee maintained an individual admission agreement for each client.
Fire Clearance has been maintained.
Facility had sufficient supply of 2 day perishable and 7 day non-perishables meeting regulations.
Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.
There is an adequate number of direct care staff to support each resident's physical, social, emotional safety and health care needs as identified in his/her current appraisal.
Facility has a sufficient supply of PPE.
No deficiencies. Exit interview conducted and copy provided. |