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25 | Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to conduct the annual inspection. LPA arrived at the facility and was greeted by Direct Support Provider, Diannah Brillo. Administrator, Justine Silverio arrived shortly. LPA toured the inside and outside of the facility.
Present at the time of visit were two care providers. LPA was informed that no clients were present as they were all in day program at the time of visit. LPA conducted two staff interviews. The facility is a three bedroom, two bathroom, one story home. Per the approved fire clearance, the licensee is approved for 4 non-ambulatory residents. All bedrooms are appropriately furnished. The facility is appropriately furnished. The water temperature was tested and measured at 112.5 degrees Fahrenheit. The smoke alarms and carbon monoxide alarms were tested and found operable. LPA observed two fully charged fire extinguishers. The kitchen was observed to be fully stocked with a sufficient amount of food and supplies. Emergency food and water was stored in a storage area in the garage. The knives were stored in a locked drawer in the kitchen. The medications are stored in a locked cabinet in the hallway. P&I funds are kept locked in a cabinet in the garage and are kept separate from facility funds. Chemicals and hazardous items are also stored in a locked cabinet in the garage.
The backyard was observed to be fully fenced with plenty of shade and is free of hazards.
LPA reviewed facility files and records. Background clearances and training were observed to be current. Client records were reviewed and all required documents were current. Medication was reviewed and appear to be dispensed appropriately according to physician's orders. The facility is completing emergency drills regularly. The last emergency drill was conducted on 5/1/2024. The infection control plan was reviewed and updated on 5/1/2024.
During the inspection, no deficiencies were observed. An exit interview was conducted and a copy of this report was reviewed with and provided to the Administrator.
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