1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 8am. During today’s visit, LPA met with Marites De Vera, Administrator.
The facility is a level 2, single story building with three client bedrooms and one staff bedroom with an approved fire clearance of six ambulatory clients. The facility currently has a census of three clients in care.
During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in one of one resident bathroom, and testing auditory devices on all exits. The hot water temperature measured 105.2 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on February 19, 2025. The facility’s last fire drill was conducted on January 5, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. All canned goods had expiration dates marked on cans and were not expired. Emergency supplies were located in the garage. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. The First Aid Kit had all of the required elements and an American Red Cross manual. There were no obstacles or hazards noted on the exterior of the facility.
LPA reviewed three of three training and fingerprint records and conducted a complete review of client records. Client P&I records were reviewed and were accurate. LPA interviewed alert clients, as they prepared to leave for Day Program, regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on March 30, 2026.
(Continued on LIC 809-C) |