Multiple fire extinguisher was observed fully charged and mounted on the walls in different areas of the facility. A Carbon monoxide detector was observed on the ceiling near one of the staff rooms and tested operational.

All client bathrooms were observed. Hot water temperatures were measured in between 109.9 – 112.1 degrees Fahrenheit. No hazardous items were observed in the resident bathrooms.

The kitchen was clean and organized. LPA observed a perishable and nonperishable food supply in compliance with regulation guidelines. Knives and sharp objects are kept locked in a drawer next to the stove. Hazardous chemicals are locked under the sink. There’s a locked filing cabinet in the kitchen with client medications and first aid supplies. An additional first aid kit with all the required elements was hanging on the wall in the kitchen. The gas stove was operation and all 4 burners, and the warmer were operational.

Continued on LIC809C

The garage is organized with clear walkways and used to store additional facility items. There’s a locked cabinet with an additional supply of hygiene items, additional cleaning chemicals, and other items. An emergency supply of PPE was observed. There’s a large supply of water and emergency food. Emergency bags for each client is stored in the garage. Two refrigerators with an additional food supply was observed.

The backyard was clean, organized, and walkways were free of obstruction. During the tour of the exterior portion of the facility, LPA Haley observed a shaded patio area with a table, chairs, and a ceiling fan. Side exit gates are self-latching. Two locked sheds were observed in the back yard. Both sheds are used to store additional facility items like a ladder, vacuum cleaner, boxes of paperwork/files, and a mattress was observed in one of the locked sheds.

Smoke detectors were observed in all client rooms, the living room, and hallways. During the inspection all smoke detectors tested operational.

The last emergency drill was conducted June 2024, and are conducted quarterly for staff on each shift.

During the inspection, 4 client files were reviewed, 4 client medications were reviewed, 3 client P&I funds were counted, 3 staff files were reviewed, and 3 staff members were interviewed.

No deficiencies are being cited as a result of todays visit. A technical Advisory will be issued.

An exit interview conducted, and a copy of this report was provided to AD Normado Surio.