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25 | On 11-15-23 at 10:30am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the assistant program director Pamela Perez and explained the purpose of the visit.
LPA inspected the physical plant including but not limited to the kitchen area, cafeteria, client classrooms, client bathrooms, laundry area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an adult day program with a current census of 48. Facility has 10 classrooms for client use. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place.
Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 75*F. LPA observed the facility to have adequate food supply. Resident classrooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 7-13-23. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and accessible to staff.
During this inspection 5 resident files and 5 staffing files were reviewed for regulatory compliance. LPA observed 3 of 5 staffing files with outdated first aid and CPR certifications. All staff noted on LIC 500 contained criminal background clearances. LPA completed 5 resident interviews and 5 staff interviews. Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. Facility’s surety bond is updated. Facility does not contain any bodies of water. {Cont.. on 809C} |