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25 | On February 10, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Mary Beth Sandoval and explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two story facility. There are seven shared client bedrooms, four common bathrooms, dining room, kitchen, common recreational room, laundry room, storage areas and offices. Client rooms were observed with all required furniture. Bathrooms were clean and odor-free and in good repair. Water temperature throughout the facility measured between 111-116 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete.
Dining room was observed free from tripping hazards with snacks. A comfortable temperature of 70 degrees is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. Medications, sharps, and chemicals were observed locked an inaccessible to clients in care. LPA observed an administrative office and one counselors office on the first floor.
Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of July 2024. Emergency drills are logged and done every month. LPA reviewed 5 client records and 5 staff records. Client records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.
No citations are issued during this visit. Report is reviewed with the Administrator, Mary Beth Sandoval and a copy is provided. |