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25 | Licensing Program Analyst (LPA) Renee Campbell arrived at the facility to conduct an unannounced annual inspection on 01/22/2025. LPA Campbell met with Lana Makovsky, Direct Service Provider (DSP), and explained the purpose of the visit. Lana Makovsky, assisted with today’s visit.
LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. This facility is a single story building licensed to serve four (4) ambulatory residents, one (1) of which may be non-ambulatory. LPA Campbell observed the facility to be free of odor and in good repair. The banquette dining area in the kitchen area was observed to have crumbs on the seating and in the crevices. LPAs observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present.
LPA Campbell observed sufficient seven-day non-perishable and two-day perishable food supplies. The hot water temperature was measured in the bathroom. The resident bathroom water temperature measured at 120 degrees. Fire extinguishers, smoke and carbon monoxide detectors were tested and are in good repair. Facility thermostat observed at 72 degrees Fahrenheit.(F). LPA Campbell checked medication storage and found medication to be locked away and inaccessible to clients in the staff room. The First aid kit was complete and contained bandages, scissors, thermometer, tweezers and a manual for first aid and cpr. LPA Campbell requested client and staff files for review.
LPA reviewed 4 resident files and 5 staff files. Resident files were found to be complete. Staff files were also found to be complete with fingerprint clearance. Toxins were made inaccessible to clients in care and were stored in the garage.
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