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25 | On 09/18/2024, Licensing Program Analyst (LPA) Grace Donato and LPA Yi Sam Jian conducted an unannounced annual inspection. LPAs were greeted by administrator, Bhonnie Berry. LPAs explained the purpose of the visit.
The physical plant was consistent with the submitted facility sketch/floor plan. On ground level, there is living quarters for staff, washer, dryer, and two extra refrigerators.
The second floor had the living room, dining room, kitchen, bathroom, 3 bedrooms for residents, and 1 bedroom for staff. A comfortable temperature was maintained. Hot water temperature warning was posted in resident bathroom sink. Trash cans were observed to have touch free operated lids. Resident bedrooms were observed to have necessary lighting and furnishings.
Centrally stored medications are in a cabinet in the ground level inaccessible to residents. Toxins and sharps are stored appropriately and inaccessible to clients. There was sufficient supply of both perishable and nonperishable foods. Food stored in the kitchen refrigerator were properly stored. Infection control practices are reviewed: PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap.
All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Fire extinguishers were adequately charged and in compliance. Carbon monoxide detector and smoke detector system inspected by licensing and met the requirements. Facility has a written emergency disaster plan. Licensee stated there are no firearms or ammunition at the facility. Licensee has at least one completed first aid kit located in the kitchen.
LPAs received copy of administrator certificate. No deficiencies were observed. An exit interview was held, and a copy of the report was provided in-person. |