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25 | Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA was granted entry into the facility and discussed the purpose of the visit with Sonya Braithwaite. The facility is an Adult Residential facility with a license capacity of (4) and a current census (3). During today's visit (1) client and (2) staff were present at the facility. LPA conducted an overall inspection, which included, but was not limited to, the following:
Operation/Physical Plant: The facility is operating within the capacity approved by Community Care Licensing Division. Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility's outdoor activity space is shaded and enclosed with a self-latching gate. The facility is equipped with smoke/carbon monoxide alarms, laundry equipment, night lights and telephone service. Client bedrooms inspected were equipped with beds, chairs, dressers and sufficient lighting. Client bathroom toilets, hand washing basins and showers were operating in safe conditions. The hot water in client bathroom tested at 106.5 degrees F. Sharps, disinfectants and cleaning supplies were kept locked. The facility has a emergency/disaster plan and infection control plan for review. The facility has posted: facility license, emergency numbers, weekly menus, and evacuation sketch plan.
Food Service: The facility’s dining area and kitchen was maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility’s freezer and refrigerators were maintained in a healthful manner.
Health Related Services: The facility maintains records of client medications and medications are centrally stored in a locked room. The facility maintains emergency supplies, bottled water, first aid kit and manual.
Personnel/Client Records: Staff records were reviewed for employment history, health screenings, criminal record clearances, and first aid/CPR training certifications, and Administrator's certification. Client records were reviewed for IRC placement/admission agreements, medical assessments, needs and service plans, and personal/incidental logs.
Technical Advisories were issued and no deficiencies were cited during today’s visit. An exit interview was conducted, where this report was discussed and a copy was provided to Sonya Braithwaite, at the conclusion of the visit.
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