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25 | Licensing Program Analyst (LPA) Dwayne Mason Jr. made an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by Lead Staff (LS) Victor Capada
The facility is a one-story home with four resident bedrooms, two bathrooms, kitchen, dining room, living room, lounge/staff office, staff room, backyard and attached 2-car garage. LPA observed all but one resident to be away at day program. LPA interviewed the one present resident. Facility appears clean and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. Facility has extra linens in the hallway closet and the garage. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water in both bathrooms measured at 120 degrees Fahrenheit. LPA issued a technical assistance, advising LS to maintain a water log since the hot water measured so close to the maximum temperature allowed. LPA observed facility has emergency food and water supply. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up. Knives and sharps are locked in drawers in the kitchen, chemicals are locked separately in the garage. Medication for each resident is kept locked in the staff office area. Exit gates are unlocked and the paths leading to them were observed to be unobstructed. LPA reviewed three of the six residents files, three of the six residents' medication, three personnel files and the P&I. Medication, files and client money appeared to be properly stored and documented. Facility has board games, exercise equipment, electronics and more for client use. Emergency contacts, Menu and Calendar are posted and available for review.
No deficiencies were noted during today's visit. An exit interview was conducted and a copy of this report was provided to the facility.
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