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25 | Licensing Program Analyst (LPA) S Vaid conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Emmanual Simbol- LVN and explained the reason for the visit. LVN-House manager Rhea Castillo arrived 20 minutes later.
Facility is licensed to serve four (4) non-ambulatory Developmentally Disabled Adults between the ages of 18-59 years old. Facility is located in a residential area and consist of a single-story home with four (4) bedrooms, two (2) bathrooms, a living room, activity area, kitchen, office, dining area, backyard, and an attached garage.
LPA toured the facility with Emmanual Simbol and observed the following: Facility is in good repair indoor and outdoor. Living room has seating furniture, and fireplace is cover with plexiglass. Dining/activity area are clean and in good repair. Kitchen area was observed clean, cleaning supplies and sharps were observed inaccessible to clients. Food supplies were observed sufficient for at least 2 days of perishables and 7 days of non-perishables. Each client bedroom (4) has sufficient lightning, furniture, and bedding supplies. Bathrooms (2) were observed in good repair with grab bars and skid strips, water temperature was tested between 115.7 to 116.2 which is within the required 105-120 degrees F. Medication cart was observed locked and medication refrigerator has a locked container inside. Carbon monoxide/smoke detectors were observed throughout the facility, were tested and are in working condition. Fire extinguisher was observed and last checked on 06/27/24. Laundry area is located in the garage and additional supplies were stored in the garage as well. Backyard is clean and has a covered seating area. No large bodies of water were observed.
Files and medication were reviewed for 4 clients and 2 staff files were reviewed. Emergency Disaster file and Infection Prevention file dated 07/17/24 were reviewed. Administrator Certificate #6037721735, expires on 05/26/2025 was reviewed. House Manager certificate 6047359735, expires on 02/26/2025.
No Deficiencies were noted during this visit.
Exit interview was conducted with House Manager Rhea Castillo and a copy of this report was provided. |