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25 | Licensing Program Analyst (LPA) Calzada arrived unannounced to conduct an annual inspection and met with Tanya Chenko, Administrator, stating the reason for the inspection. LPA observed (7) staff members and the Administrator engaging in activities with the clients at the start of the inspection. LPA interviewed (3) clients prior to them departing from 1:30 -2:00 pm. The location is licensed for an adult day program for (30) clients, all of whom must be ambulatory. LPA observed all clients to be ambulatory.
LPA, Administrator and Zana Binevskiy, Coordinator, toured the interior and exterior of the facility, including the common activity rooms, quiet room, kitchen area, and bathrooms. There were no immediate health, safety, or personal rights violations observed. The facility appeared to be clean and free from odors. There is a locked area for toxins in the kitchen and tables/chairs for clients to bring their own lunch/snacks.
The fire extinguishers were last serviced 6/26/23 and are scheduled for re-servicing in June 2024. Emergency exit was clear and accessible. The First Aid kit was complete and there is sufficient PPE on hand. Program Rules and Personal Rights are posted along with volunteer schedule and activity calendar. Hot water measured 118*F in the kitchen.
LPA reviewed (7) client files. All files contained current paperwork and were organized and complete. There is (1) client that takes medication. The medication is locked in the office area and documentation is maintained when the medication is administered. LPA reviewed (6) staff files. All staff is cleared/associated to the facility. All staff have current First Aid/CPR certification on file and have completed required hours within the last year. The Administrator has a current Adult Residential Certificate #7000553735- exp 5/24/25. The Infection Control Plan was reviewed/approved. Discussed other related topics during today's inspection.
There are no deficiencies being cited as a result of todays inspection. Exit interview conducted. |