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25 | Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection using the Compliance and Regulatory Enforcement (CARE) tool. LPA arrived unannounced and met with Administrator, Kevin Beek. The facility is licensed for (4) adults, ages 18 - 59, of which 2 may be non-ambulatory in bedroom #3.
LPA toured the facility, reviewed files, and conducted interviews. The following were observed:
The facility does not have any pools or bodies of water on the premises. There are 3 client bedrooms, 2 bathrooms, living room, kitchen, and detached garage. The client bedroom has the appropriate furniture and storage space. There are extra linens and hygiene supplies. Facility has operable smoke and carbon monoxide detectors throughout the home and are interconnected. Knives, cleaning solutions, and disinfectants are locked.
Staff are providing care and supervision to meet the clients' needs and assisting in activities of daily living. Staff are continuing to follow their infection control plan and procedures while handling clients. LPA observed sufficient food supplies of 2 day perishable and a week of non-perishable items. Foods are properly stored in the refrigerator to avoid contamination.
Per the administrator, there is sufficient staffing. There is an awake staff in the overnight shift to supervise clients. Staff are all fingerprint cleared and associated to the facility. LPA reviewed records for 2 staff and 2 clients. They all have the required documents in their files. Facility staff have current CPR & First Aid training. They do not use any manual restraints on clients. There is no client with a restricted health condition. Medications are centrally locked and inaccessible to clients. LPA reviewed medications for both clients and are being administered as prescribed. The facility has the updated emergency and disaster plan and conducting disaster drills monthly.
No deficiencies were observed today. An exit interview was held and a copy of this report was given to the administrator. |