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25 | At approximately 1:15PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year Inspection Visit, and met with Staff Member, Romulo Damasco. Administrator, Ferdinand Alfonso, was available by telephone. The facility provides care to adults with developmental and physical disabilities and has an approved fire clearance for 6 Ambulatory clients. Upon arrival, LPA was informed that 5 of 5 clients were out of the community attending Day Program.
At approximately 1:20PM, LPA conducted a walk through of the facility and observed the following: LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Toxins were secure and not accessible to clients. There was a sufficient supply of hygiene products, paper products, and linens available for client use. Mattress pads were in place or available for client use.
The facility's last fire and evacuation drill was conducted January 2023. Facility's fire extinguishers were last inspected September 2022. Smoke detectors and carbon monoxide detectors were tested and operational. The amount of fresh and non-perishable foods was within regulation. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit.
LPA reviewed 5 of 5 Client records which were all found to be well organized, thorough and contained the required documentation. P&I monies were documented, secure and not commingled.
LPA unable to complete the Annual Inspection. Annual Continuation Visit to be conducted at a later date.
No Deficiencies Cited during visit.
Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents. |