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25 | Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual Inspection on today's date of 1/07/2025. The LPA met with Administrator L. Guerrero. There are currently fifty nine (55) clients in care.
LPA and Administrator inspected the physical plant. LPA inspected the facility with Administrator including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. The facility had the required carbon monoxide detectors. LPA observed the facility to be free of odor and clean. LPA observed sufficient lighting throughout the facility. There are bodies of water present in the facility and they are in compliance with regulatory requirements. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA reviewed fifteen (10) client files and five (5) staff files, including criminal record clearances. LPA observed centrally stored medications locked in then medication room. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed resident and staff files, and interviewed both. All staff were cleared and associated to the facility. First aid kit was checked and is complete.
The inspection will be continued to follow-up on advisories and permits.
Exit interview conducted. |