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25 | Licensing Program Analyst (LPA) Victoria Chitgian arrived unannounced to the facility for a required annual inspection. Facility is an Adult Residential Facility licensed for five (5) ambulatory clients. LPA met with Administrator Isabelita De Ramos. At the time of the visit, two (2) clients were present.
LPA toured the facility inside and outside. Outdoor and indoor passageways were kept free of obstruction. The facility has charged fire extinguishers, operating fire alarm systems, and carbon monoxide detectors. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. LPA toured the client bedrooms. The client bedrooms had functional lighting and required furniture. The facility had a supply of additional linen and extra hygiene items for the clients. The facility had a complete first aid kit available and the last disaster drill was conducted on 5/22/2023. Cleaning supplies, medications, and sharps were kept locked and inaccessible to the clients. Cleaning supplies were stored in the laundry areas. Centrally stored medications were kept in a safe and locked cabinet. LPA measured the hot water temperature in the bathrooms and kitchen. The hot water temperature in the client bathroom was within required limits at 119 degrees F. LPA observed emergency supplies in the hallway closet. The outside of the facility had a shaded area with a table and chairs. The facility does not have a pool or bodies of water.
LPA reviewed staff and client files. Staff files had the required documentation including a health screening report and first aid/CPR certification. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. LPA reviewed medications. Medications were dispensed appropriately according to the physician's orders. Facility has secured each consumer’s personal property and cash resources. LPA observed the signs and postings in a common area. LPA observed the facility floor plan did not have evacuation route/path indicated. Technical violation issued. Administrator agreed to update facility sketch and indicate evacuation and assembly point. LPA observed the facility did not have a visitation policy posted. Technical violation issued. Administrator stated to create a visitation policy and post it in a common area. Sufficient staff are employed and present in the facility to meet the needs of the clients in care.
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