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25 | Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA was greeted and granted entry by Administrator Kimberly McIntosh, where LPA explained the purpose of the visit. At the time of the visit there was (1) staff and (0) clients present, as all (3) they were at the day program.
The home is a two story structure consisting of (4) bedrooms and (3) bathrooms, living room, den, backyard, and garage. The home was observed to be clean and clutter free. The food supply was observed to be sufficient as there was a 2 day supply of perishable and a 7 day supply of nonperishable food items. The chemicals were observed to be locked inside the cabinet inside the laundry room. The medications were present, and monitored via the Medical Authorization Record (MAR), and sharps were observed to be locked inside a cabinet inside the kitchen.
The emergency disaster drills are being conducted on a monthly basis, the last drill was conducted on 03/01/25. The facility has (2) fire extinguishers, one on each floor, that are fully charged and serviced February 2025. There are no guns and ammunition or pools or bodies of water on the premises.
The hot was tested and measured to be 116.7 degrees Fahrenheit.
Staff files were reviewed and were observed to have the required training, and valid CPR certification, The Administrator Kimberly McIntosh was observed to have an active Administrator certificate that expires on 07/09/25. Client files had the required assessment such as Individual Program Plan (IPP), medical assessment and complete admissions agreements with signatures. The facility annual fees have been paid.
Based on today's inspection no deficiencies were observed.
An exit interview was conducted and a copy of this report was reviewed and provided to administrator Kimberly McIntosh. |