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25 | Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:10AM to conduct an Annual Required inspection and was greeted by Administrator, Jacques "Phil" Scutt. LPA and Administrator discussed the purpose of the visit.
LPA and Administrator initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 115 and 118 degrees F which is within the range of 105 to 120 degrees F allowed per regulation.
Extra hygiene products and linens were available. Closets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Emergency food and water is stored in the garage and is frequently rotated. Fire extinguishers were last serviced 02/07/2024. Smoke and carbon monoxide detectors were tested and operational during inspection. Most recent disaster drill was conducted 06/01/2024.
Four client files were reviewed. Client files contained all required documents. LPA reviewed staff files. Staff files contained all required documents. Medications and medication records were reviewed. Medications were documented as per regulation. Client cash resources were reviewed. Cash resources were documented as per regulation. Administrator certificate for Jacques Scutt (7003045735) is up to date and expires 10/24/2025.
No deficiencies cited during inspection.
Continued on LIC809C |