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25 | At 7:30am on 12/28/2023, Licensing Program Analyst (LPA) Mark Jeffries arrived at the facility unannounced to conduct the annual inspection visit. LPA met with Program Supervisor Vernedea Robinson and explained the reason for the visit.
LPA toured the facility with the Supervisor, facility The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors functioning. Fire extinguisher is fully charged. Inside and outside passageways are free from obstruction. There are no bodies of water on the facility property. There is covered patio area with shade for the clients outside. The facility temperature was 70 degrees F. Hot water temperature tested within regulations of 105*-120*(f). A written disaster and mass casualty plan is readily available located on the facilities office wall. Clients are also serviced through Tri-Counties Regional Center and meet at the facility in the AM then conduct their program at various locations throughout the community. The staff to client ratio is 3:1. The facility has first aide kit per regulations. Facility records, client records are located at this facility, staff records are located at a San Luis Obispo location, however LPA was able to review current working staff annual training hours. Training records were located in training log and LPA could not ascertain personnel files had training logs in those files and a Technical Advisory was issued. LPA and Supervisor discussed potential resolutions for files. LPA reviewed medications. Medications are stored in a locked cabinet. LPA observed the Centrally Stored Medication Record (CSMR) and medications are given per physician's orders.
Supervisor and LPA conducted a full review of annual control tools module.
Exit interview, deficiency cited, report and appeal rights provided. |