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25 | On 11/6/2024, Licensing Program Analyst (LPA), Janette Romero arrived unannounced to conduct a required annual inspection. LPA met with Administrator, Adelita Buckingham who was informed of the purpose of the visit. The facility has a fire clearance for four (4) non-ambulatory clients and serves adults ages 18 through 59. The facility is also approved for delayed egress.
LPA toured the facility with Administrator Buckingham. The facility is made up of a one (1) story home with four (4) client bedrooms, three (3) client bathrooms, a staff office, kitchen, dining room, living room, and attached garage. During the tour, Administrator Buckingham tested the delayed egress and LPA observed it to be operational. Outside shaded seating is available for client use. Indoor and outdoor passageways are free of obstruction. Assistant Administrator, Adrian Arias tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed the alarms to be operational. LPA also observed charged fire extinguishers mounted in the hallway that were last serviced on 7/2/2024. No bodies of water were observed on the premises. LPA toured the kitchen and observed the facility has a two-day supply of perishable foods and seven-day supply of non-perishable food items. Cleaning solutions, disinfectants, knives and sharp instruments are secured in the garage. Medications are secured in a locked kitchen cabinet. LPA and Assistant Administrator Arias reviewed the Medication Administration Record for Client 1 (C1) and Client 2 (C2) along with their physical medications and no discrepancies were discovered. LPA was informed the facility does not safeguard the clients' cash resources. LPA reviewed C1 and C2's client files, which had updated Individual Program Plans and signed admission agreements. A record review revealed Staff 1 and Staff 2 have a valid first aid/cardiopulmonary and non-violent crisis intervention certificates. Administrator Buckingham's administrator certificate expires on 1/1/2025.
During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Buckingham along with a Confidential Names list (LIC 811).
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