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25 | On 1/7/25 Licensing Program Manager (LPM) Stephen Richardson and Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced Case Management annual continuation visit today at the facility to continue with the Annual visit initiated on 12/10/2024. LPM and LPA met initially met with staff on duty (S1) and stated the purpose of this visit. The Administrator later arrived with another staff, along with 1 client in care. Current census is 3. Upon arrival, there were 2 clients in care with 1 staff on duty (S1).
During this visit, LPM and LPA reviewed seven staff files, which included, but were not limited to, First Aid/CPR, Health Screening, and Fingerprint Clearance. No issues were noted.
A medication review was conducted for 2 out of 3 clients, including the Medication Administration Record (MAR), Centrally Stored Medication Record, and Physician's Orders. No issues were noted.
The first aid kit was reviewed and found to contain all the required items. The facility conducts monthly disaster drills, with the most recent fire drill held on 12/28/24.
The hot water temperature in the resident bathroom was measured at 116°F, and the kitchen faucet hot water temperature was measured at 120.6°F. A Technical Advisory was issued to place a warning sign at this faucet.
LPA obtained the current copies of the following documents: Personnel Record, Designation of Facility Responsibility, Liability Insurance Certificate, and Surety Bond.
No deficiencies are cited during today's visit. Exit interview was conducted and a copy of this report was provided.
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