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25 | Licensing Program Analyst (LPA) Trueman arrived unannounced to conduct a Post Licensing inspection. LPA met Administrator Erlinda Punzalan who provided a tour of the entire facility.
FACILITY IS LICENSED TO SERVE DEVELOPMENTALLY DISABLED AGES 18 THROUGH 59. ONE(1) NON-AMBULATORY.
All 3 clients were at Day Program at time of visit.
Observations:
· LPA toured and inspected 4 client rooms, 2 bathrooms, kitchen, 2-day perishable/7-day non-perishable food supply, medication storage area, activity areas, laundry area, garage, and outdoor areas were inspected. Sharps were observed secured and locked. The facility was free of odor, clean and in good repair. No obstructions were noted in hallways or living areas. Sufficient furniture and lighting were observed throughout the facility.
· The hot water temperature in the 2-bathroom sinks measured 109.5 DF & 110.6 DF.
· Centrally stored medications were reviewed for all 3 clients and were administered per physician's directions. They were observed locked and inaccessible to residents.
· Client file records were reviewed for all 3 clients. Client files contained required documentation including updated emergency information.
· Records were reviewed for 8 staff.
· LPA checked criminal record clearances and all are cleared and associated.
· See Something Say Something complaint poster, Evacuation Routes and facility license were all posted as required. Fire Drill was conducted on 01/06/2025.
P and I balances were verified for all 3 clients.
No deficiencies. Exit interview conducted.
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