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25 | Licensing Program Analyst (LPA) Tyler Reyes conducted the unannounced Annual Inspection and met with Assistant Administrator Derry Sandajan and explained the reason for today’s visit.
For today's inspection LPA used the Compliance and Regulatory Enforcement (CARE) Tools to inspect the facility. The facility is licensed for 18 through 59 and non-ambulatory. The facility is a single-story with living room, kitchen, laundry room, dining area, (4) client bedrooms, (2) restrooms, attached garage, front and backyard.
LPA conducted the tour with Derry Sandaja observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Sharps are kept locked and inaccessible to clients in care. Cleaning chemicals are kept locked and kept in room in laundry area. The First Aid kit is kept locked in the medication cabinet and it is fully stocked with all required items including a current manual. Medications are kept locked in a dining area cabinet medication was checked for 4 clients and no deficiencies noted. Client files are kept locked in medication cabinet and staff files are on an online portal, all documentation's are present and staff are cleared. Clean towels and extra clean linen were observed in a hallway cabinet. Dining and living room have sufficient lighting and sitting area. All bedrooms have all required furniture, lighting, and bedding, there is (2) residents with half bed rails and a physician order is in place. The bathrooms were observed with shower mats and grab bars for non-ambulatory clients. The water temperature was tested in the both bathrooms and measured within the required 105-120 degrees F. Fire extinguisher were observed in the kitchen, and are fully charged. Smoke detectors were observed throughout the facility and in each room and were operable during the visit. The carbon monoxide was operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.
(CONTINUATION TO LIC 809-C) |