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 the annual inspection using the Compliance and Regulatory Enforcement (CARE) tool. LPA arrived unannounced and met with the House Manager, Alicia Federspiel. The purpose of the visit was explained.
LPA toured the facility, reviewed files, and interviewed staff and clients. The facility consists of 4 client bedrooms, 2 bathrooms, living room, dining room, kitchen, and attached garage. Extra linens and hygiene supplies are observed. Facility has an operable smoke detector in each room and a carbon monoxide detector. Knives and cleaning solutions are locked. There is no swimming pool on the premises. The fireplace is covered by a fence. Facility is continuing to follow the infection control plan to mitigate any outbreaks. Staff are performing hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting daily. The facility is licensed for (4) adults ages 18 - 59, of which one may be non- ambulatory. There are currently 4 clients residing at the home and receive services through the San Gabriel/Pomona Regional Center. There are sufficient food supplies of 2-day perishable and a week of non-perishable items. Freezer is maintained at a temperature of 0 degree F and the refrigerator at a maximum of 45 degrees F. The medications are centrally stored and locked in the dining room cabinet. The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for 4 clients and no discrepancies were found. Facility has an awake staff for the overnight shift to provide supervision to clients. Staff are fingerprint cleared and associated to the facility. LPA reviewed 4 personnel files and they all have the required documentation. Staff have current CPR/first aid training and sufficient on-going training. Administrator's (Elleranne Sanchez) certificate expires on 1/8/25 and the HIV & TB certificates are still current. LPA reviewed (4) client files and the required documentation such as the admission agreement, IPP, medical assessment with TB results, Client rights, current IPP reports, and safeguarding of cash and inventory forms. There are no clients with a restricted health condition. Facility has the updated Emergency Disaster Plan.
No deficiencies issued today. A copy of this report was given to the house manager. |