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25 | Licensing Program Analyst (LPA) Javina George conducted an unannounced annual required visit on the date and time noted above. LPA was granted entry and met with Administrator Shayel Hawkins who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (2) resident's present. All staff were observed to have obtained criminal record clearance and were associated to the facility.
The facility is a single story home with (5) bedrooms and (3) bathrooms. The facility is licensed to serve six (6) ambulatory adults between the ages of 18-59. LPA conducted a tour of the interior and exterior of the facility. The resident bedrooms had the required furniture, such as a bed, lamp, chest of drawers, chair.
LPA observed for the facility to be clean, clutter and odor free. There is a pool and jacuzzi that is surrounded by a locked gate. The outdoor area was observed to be free of hazards. The sharp and dangerous objects as well as chemicals were observed to be locked and inaccessible to resident in hallway closet. The smoke detectors and carbon monoxide were observed to be operable. There are no known guns or ammunition on the premises. The facility was observed to have one (1) fully charged fire extinguisher.
LPA observed for facility food supply to meet the required 2-day supply of perishable and 7-day supply of non-perishable items. The emergency disaster drills are being conducted on a monthly basis, the last drill was conducted on 4/3/24. LPA reviewed (2) staff files and (2) resident files and all files were observed to have the required paperwork. Staff possessed valid CPR certification, and Administrator certificate expires 01/04/25.
The medications were observed to be inaccessible to residents in care as they are stored in locked cabinet inside the dining area. The Medical Authorization Records (MARS) and medication were observed to be given according to the physician's instructions. There were no deficiencies observed during today's visit.
An interview was conducted where a copy of this report was reviewed and provided to Administrator, Shayel Hawkins. |