1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | An annual required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 9/29/2022 with Facility Administrator. Community Care Licensing file, incident reports, facility roster, facility profile and complaint history were reviewed prior to visit at the agency. The licensing fees are owed on this date. This information was provided to the administrator. The Facility has a capacity of 4 and currently has 2 residents. There are 40 staff members associated to the license and 4 currently working at the Facility. LPA reviewed 4 staff files, all that were reviewed were complete and up to date. Staff files reviewed have required training hours, education, and fingerprint clearances. 3 youth files were reviewed. The youth’s needs and services plan/Individual Program Plan, Behavioral Plan (IBST) and quarterly reviews were complete and up to date. Immunization records were current. Medical consent forms were signed by authorized representative and current. Additionally, the youth’s files had a record of personal property. Personal rights, menu, license, and emergency exit plan were posted.
The facility was inspected jointly with the Facility Administrator. LPA interviewed 1 client. There are 4 bedrooms and 2 bathrooms. Each bedroom has a bed for 1 client, as the facility has single occupancy bedrooms. Three bedrooms had a firm mattress, with a bed cover, sheets, blanket, and pillows. One bedroom was being repaired as a client destroyed much of the room during a behavioral episode. The common area has couches and chairs to sit in, and a TV. The facility is in good repair. There are locked cabinets in the laundry room with cleansers and detergents. Additional linen if needed for the bedrooms and the bathrooms are kept in a hall closet. Client and staff files are in locked cabinets. The passageways from the front to the back of the facility are unobstructed. LPA observed the backyard and saw a patio table with chairs and play equipment for the clients. LPA observed enough perishable/non-perishable food for 3 clients for 4 days/3 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor and 2 fully charged fire extinguisher. Sharps were kept locked in the kitchen. Additional sharps are kept locked in the laundry room. |