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25 | Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that zero (0) clients live at this facility. There were one (1) staff member present. The Licensee, Ashlyn Barnes conducted the facility tour.
Client Records/Incident Reports/Clients Rights Information: LPA would have reviewed client records. Zero (0) records were reviewed. LPA would have reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification.
Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. One (1) record was reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Ashlyn Barnes, Administrator’s certificate expiration date is 05/28/2024.
(Continued on LIC809C)
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