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25 | Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the annual inspection. LPA arrived and met with Staff, Betty Espera. The assistant administrator, Felly Soralbo, arrived shortly to assist with the visit.
LPA conducted the remainder of the CARE tool domains during the visit today:
Staffing: There is sufficient staffing at the facility, with (2) staff in the morning and afternoon shifts and (1) in the overnight shift. Staff are fingerprint cleared and associated to the facility.
Personnel Records-Training: Staff files are maintained at 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 (Paul Tabachnikov) has the HIV & TB certificate that was completed on 11/19/23.
Client Rights: Facility has an internet access device for clients to use.
Client Records-Incident Reports: Client files are maintained at the facility. LPA reviewed (4) client files and their files contain the required documentation such as the admission agreement, IPP, medical assessment with TB results, and safeguard of cash and inventory form.
Health-Related Services: The medications are centrally stored and locked. The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for 4 clients and meds are being administered as prescribed by the physician.
Incidental Medical & Dental: There is currently no client with a restricted health condition.
Disaster Preparedness: The facility has an Emergency Disaster Plan posted with contact numbers and at least 2 relocation sites. Disaster drills are conducted quarterly.
Emergency Intervention: All staff have the CPI training and only use techniques taught by the CPI instructor.
There are no deficiencies issued today. An exit interview was held and a copy of this report was given to Ms. Soralbo. |