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25 | On 4/16/2024, Licensing Program Analyst (LPA) D. Ayers arrived unannounced to conduct a required annual inspection. LPA met with Director Christina Hunt and announced the purpose of the inspection. Director's Administrator Certificate is current with renewal date 5/10/2024.
LPA toured the facility. All passageways and exits were clear and free from obstruction. The facility has a centralized fire alarm system and sprinklers throughout the facility. Fire extinguishers are present and recently serviced. The facility maintains an Emergency Disaster Plan which meets all requirements. LPA inspected 3 activity rooms, 3 facility bathrooms, facility kitchen, and gymnasium. LPA observed facility to be clean, odor free, and adequately lit. LPA observed bathrooms to be in safe, sanitary, and in good working order. SHarp items and cleaning supplies were secured in locked cabinets throughput the facility.
Medications were secured in a locked cabinet within an office. Medications appeared to be administered properly. Client's files were found to be complete and current. LPA and Administrator reviewed client restricted health condition care plans and records. A review of staff records indicates that all facility staff have received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated staff responsible for the care of clients had current first aid/CPR certificates.
No deficiencies were cited during the inspection. A copy of the report was provided and exit interview conducted.
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