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25 | Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection. The facility is licensed to serve six (6) ambulatory clients from age 18-59. Client census is four (4). Clients receive case management services from San Gabriel/Pomona Regional Center. The annual fee is current. LPA met with John Bronstead, Licensee, who assisted with visit. LPA discussed with licensee of the purpose of today's visit and the inspection.
During the visit, the Care tool was used, a tour of the facility was conducted, food supply was reviewed, staff/clients were interviewed, and staff/clients files / medications were reviewed.
Common areas were observed for the ability to safely serve the needs of the clients. All client rooms were furnished with appropriate furniture for clients’ comfort. The bathrooms were furnished with grab bars and nonskid surfaces. Hot water temperature was 114.5 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Facility maintained a comfortable temperature for clients. A sufficient supply of perishable and non-perishable foods was observed. The back yard activity area was a shaded area with chairs and free of debris/ hazard. Smoke and carbon monoxide detectors were tested and operational. The last Fire/ Emergency Drill was conducted on Jan 4, 24. Administrator certificate is current with expiration date on 3/21/24. The fire extinguishers were fully charged and last service was on 9/19/23. Medications were centrally stored, locked and the records were current. Hazardous items and sharp items were locked and inaccessible to clients.
No deficiencies were cited per California Code of Regulations, Title 22. An Exit conference was conducted and LIC809 report were provided to administrator. |