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25 | At approximately 1:00PM, Licensing Program Analyst (LPA) Felias arrived unannounced to continue a 1-Year Required Visit and met with Staff Member, Kymberlee Franks. Facility serves Clients with Disabilities and has an approved fire clearance and capacity for 3 Non-Ambulatory clients. Upon arrival, LPA was informed that there were 3 clients in care and 6 staff members on-site. Administrator Rodrigue Ndomo was unavailable during visit. Licensee, Christina Youmbi, arrived during visit at approximately 2:30PM.
At approximately 1:15PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA reviewed staff files, client files and client medications. Files were found to be well organized, thorough, and contained the required documentation. Staff files had current First Aid and CPR certification. Medication was found to be centrally stored and secure. LPA conducted interviews.
LPA requested the following documents to update facility file:
- Designation of Facility Responsibility (LIC 308)
- Emergency Disaster Plan (LIC 610D)
- Updated Personnel Report (LIC 500)
- Register of Clients/Residents (LIC 9020)
- Updated Liability Insurance
- Active and Current Administrator Certificate
Facility Documents to be submitted to Community Care Licensing (CCL) by due date of Sunday, 01/07/2024.
No Deficiencies cited during visit.
Exit interview conducted. Copy of report discussed and provided to Staff Member. Signature on form confirms receipt of documents. |