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25 | Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:15AM to conduct an Annual Required inspection and was greeted by Facility Manager. LPA and Facility Manager discussed the purpose of the visit. Administrator, Hannah Peralta was available by phone.
LPA and Facility Manager initiated a tour of the facility around 09:45 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 117 degrees F which is within the range of 105 to 120 degrees F allowed per regulation.
Extra hygiene products and linens were available. Cabinets 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. Medications were centrally stored and locked. Emergency food and water is stored in the garage. Personal Protective Equipment is stored in the garage.
Fire extinguishers were last serviced December 12, 2023. Facility has combination smoke and carbon monoxide detectors located throughout the facility that were tested and operational during inspection. Most recent fire/disaster drill was conducted 04/05/2024. Client cash resources were reviewed. 3 of 4 clients had a negative balance.
Five staff files and four client files were reviewed. Staff have required First Aid and CPR certificates. Medications and medication records were reviewed. Administrator Certificate for Administrator, Hannah Peralta (6038008735) is up to date and expires 07/17/2024.
Continued on LIC809-C |