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25 | On October 3, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Dee Lete and explained the purpose of visit.
LPA toured the facility inside and outside including all of client rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two story facility with client bedrooms, bathrooms, common area, kitchen, living room, dining room, etc. on the main first floor and a staff room with a bathroom on the downstairs.
Living room and dining room was observed to be clean, free from tripping hazards and odor-free. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to clients. During the visit, LPA observed one client getting ready to go to their day program.
LPA observed three client bedrooms; two of which are shared and one single-private room. All rooms were observed to be clean, in good repair with required furniture. Two full bathrooms were observed on the main level of the facility; all were clean and odor-free, equipped with paper-towels and liquid soap. Extra linen and first aid kit was present. LPA toured the downstairs floor of the facility and observed a staff room, full bathroom, and a storage area. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current as of October 2024. Emergency drills are logged and done quarterly.
LPA reviewed 5 resident records and 3 staff records. Resident 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 deficiencies are cited during the visit. Report is reviewed Administrator and a copy is provided. |