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25 | Licensing Program Analyst (LPA) Glenn Trueman made a visit to the facility and was greeted by Assistant Administrator Enrique Nunez and explained the reason for the visit.
Shortly thereafter Administrator Cecelia Nunez arrived.
The purpose of the visit is to conduct the required 2025 annual inspection.
Annual Inspection includes the following Domains:
Infection Control, Physical Plant and Environmental Safety, Operational Requirements, Staffing, Personnel Records- Training, Client Rights Information, Client rights- Incident Reports, Food Service, Health Related services, Incidental Medical Services, Disaster Preparedness, and Emergency Intervention.
Tour of the facility was conducted and the following was observed;
There are 4 Client Bedrooms which have the required furniture such as bedframes, dressers, lamps and chairs.
Beds have the required linen and the linen is in good condition.
There are 2 Client bathrooms. The bathrooms are clean and have the required hygiene items. The hot water temperature was within the required 105 - 120 degrees.
The facility temperature at the time of the visit was comfortable.
There is sufficient lighting throughout the facility. There are smoke detectors located throughout the facility. There is a carbon monoxide detector. The kitchen was inspected. There is sufficient perishable and non-perishable food. The food was also stored properly. Kitchen appliances are clean and are operating properly. The front and backyard are well maintained. There is no pool or other large bodies of water.
Planned activities are conducted daily and there is sufficient space inside and outside of facility.
1 Staff were interviewed and 2 Client's were interviewed. 2 client's were at the Day Program.
4 Client Files were reviewed and 6 staff files were reviewed.
Disaster Drill and Earthquake Drill was conducted on 02/03/25.
No deficiencies.
Exit interview conducted. |