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25 | At approximately 9:00AM, Licensing Program Analysts (LPAs) Felias and Loera arrived unannounced to conduct a Required 1 Year visit. Administrator, Ian Ramos, arrived to the facility at approximately 9:40AM. Facility is an Adult Residential Home that provides care and assistance for Adults with Disabilities. Facility has an approved fire clearance for 1 Non-Ambulatory Client and 4 Ambulatory Clients with a total capacity for 5 clients. Upon arrival, LPAs were informed that there were 5 clients in care, and all five clients were out of the community attending Day Program. LPAs were also informed that because clients were attending Day Program usually there are no staff on-site in unless a client stays home.
At approximately 9:50AM, LPAs reviewed the Facility's Staff Roster and found that the staff scheduled to work in the afternoon were background cleared and associated to the facility per regulation. At approximately 10:00AM, LPAs conducted a walk-though of the facility with Administrator. LPA observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility is a one story building with 5 Client bedrooms, 2 staff rooms, 4 bathrooms, and common spaces. Facility has Infection Control Plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins were observed to be stored inaccessible to clients. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for clients. Mattress pads were in place or available for client use. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. During walkthrough, LPAs observed multiple cobwebs in the home. Per conversation with Administrator, cobweb cleaning is a part of client chores and is done on a daily basis. LPAs immediately observed Administrator clean the cobwebs throughout the home (see technical violation, LIC9102, regulation 80087(a)(1)).
LPA reviewed staff files, client files, client medication, and client P&I monies. All files were all found to be well organized, thorough and contained the required documentation. Staff files had current First Aid and CPR certification. P&I monies were documented, secure and not commingled.
Continued on LIC809C
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