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25 | Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with House Manager Mary Galang. Administrator Mona Rojas arrived later. Clients were present participating in activities.
LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. Water temperatures in client bathrooms read at 113.4 and 117 which is within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet. Medications are centrally stored in locked cabinet and medication records were reviewed. Fire extinguishers were last inspected October 2022. Smoke detectors and carbon monoxide detector are wired located throughout the facility were tested and operational. Most recent Fire/Disaster drill was conducted July 10, 2023. Facility does have a current activity calendar and menu. Required postings were observed. First aid kit was fully stocked.
At 12:30pm LPA conducted a file review of four client and five staff files. Clients records have updated care plans on file. CPR/1st aid certificates and training hours are current. Administrator Certificate for Mona Rojas 6012770735 expires 1/18/25. Cash resources and documentation were reviewed.
LPA obtained updates of the following documents: LIC500 (Personnel Report), LIC308 (Designation of facility responsibility), Surety bond, LIC400 (cash affidavit for clients) and lease agreement.
No deficiencies cited during today's inspection.
Exit interview conducted with House Manager and a copy of this report was given. |