1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the annual inspection. LPA met with Staff, Katrina Porter, and explained the purpose for the visit. Co-Administrator, Angela Porter, arrived shortly after.
LPA started the initial inspection on 10/28/24. The following domains were reviewed today.
Staffing: There is sufficient staffing at the facility. Administrator (Frances Porter) certificate expires on 12/15/24. Staff employed are fingerprint cleared and associated to the facility. There is an awake night staff to provide supervision.
Personnel Records-Training: Staff files are maintained at the facility. LPA reviewed files for 3 Staff. Staff files have current First Aid/CPR certification and the Health Screening and Tuberculosis Screening. Staff are receiving on-going training.
Client Rights-Information: Client rights are posted. There are no clients using postural supports.
Client Records-Incident Reports: Client files are maintained at the facility. LPA reviewed files for 3 Clients. The files contain the Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Weight Record, Consent Forms, Individual Program Plan/IPP, and Client Rights.
Incidental Medical Services: There is no client with a restricted or prohibited health condition.
Disaster Preparedness: The facility has the updated Emergency Disaster Plan (LIC610D) and is conducting different types of drills quarterly.
Emergency Intervention: Staff have ProAct training and use redirection. No restraints are used.
No deficiencies issued today. An exit interview was held and a copy of this report was given to the administrator. |