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25 | Licensing Program Analyst (LPA)s Mary Flores and Mayra Cota conducted an unannounced annual visit at the facility using the CARE inspection tool. LPAs met with Cory Mitchell and explained the reason for the visit.
The facility is licensed to served 6 ambulatory adults between the ages of 18 - 59 years old, and serves as a Transitional Rehabilitation Program. The facility is a two floor structural home located at the back of a community of single homes. It consist of 3 client rooms, 2 client bathrooms, a living room down stairs and upstairs, kitchen and dinning room are located in the 2nd floor, a therapist office upstairs and downstairs, a program technician office downstairs, and a case management office in the 2nd floor.
LPAs toured the facility with Cory Mitchell and observed the following:
Facility is in good repair indoor and outdoor. Living room and dining room were observed with furniture in good repair. Facility has a kitchen which stores dishes, and snacks for the clients. However, all meals are prepared outside the facility and brought into the facility. Facility has a meal preparation waiver. Each client bedroom (3) has the required furniture, bedding supplies, and sufficient lighting. Two bathrooms were observed in good repair and water temperature was tested between 112.3-118.1 degrees F., which is within the required 105-120 degrees F. Medication room is kept lock and there are no sharps or cleaning supplies accessible to the clients. There are no large bodies of water. A shaded outdoor area is available. Fire extinguishers were observed and smoke detectors were tested and are in good repair. First aid kit was observed.
LPAs reviewed medication and files for 5 clients and 5 staff. Facility does not handle P&I for clients.
Administrator certificate was observed for Cory Mitchell #6069942735 Expiration date: 7/29/2026. Infection Control Plan and Emergency Disaster Plan were reviewed.
No deficiencies were noted during this visit. Exit interview was conducted with administrator and a copy of this report was provided. |