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25 | At approximately 8:30AM, Licensing Program Analyst's (LPA's) Jacky Macias and Chris Arnhold conducted an unannounced Annual Required inspection at this facility and met with Administrator Dorothy Carmichael. At approximately 8:50AM, LPA's toured the building and grounds which was found to be clean and in good repair. LPA's observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Mattress pads were in place or available for Client use. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to clients or was properly labeled to warn of a higher temperature. Fire extinguishers inspected were charged. Smoke detectors were tested and found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detector was present. Disaster Drills are conducted monthly.
At approximately 10:50AM, LPA's reviewed 5 of 11 Client records and 5 Staff records, which were all found to be well organized, thorough and contained the required documentation. First aid certification were current in staff files reviewed. P&I monies were documented, secure and not commingled.
Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit:
LIC500- Personnel Report
Infection Control plan
Surety Bond
Facility sketch
No citations issued during this visit. |