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25 | On February 20, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Kris Bartolome and explained the purpose of the visit.
LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. Facility operates on first and second level. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed.
There are eight client bedrooms; five shared rooms with beds 6ft apart and three private rooms. All residents rooms were observed with all required furniture. Three full bathrooms were observed to be clean and in good repair. Dining room and living room were observed to be clear from tripping hazards. A comfortable temperature of 69 degrees F is maintained and lighting is sufficient for comfort. Kitchen was observed with two day perishables and seven day non-perishables. Water temperature throughout the building measured between 105.8-109.1 degrees F. Medications, sharps, and chemicals were observed locked an inaccessible to clients in care. First aid kit and extra linen was present. LPA observed an administrative office on the first floor and one counselors office on the second floor.
Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of January 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 the visit. LPA reviewed report with the administrator and a copy is provided. |