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25 | On 03/13/2024 Licensing Program Analyst (LPA) Ivan Avila arrived at the facility unannounced to conduct a 1-year annual inspection and met with Administrator Brianna Merritt and explained the purpose of the visit. LPA Avila and Administrator toured the facility together to ensure the health and safety of clients who attend program.
Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. Food appears to be stored properly. Sharp objects are stored in locked cabinet. Hot water temperature measured within the required range. Bathrooms: The LPA observed client bathrooms to be clean, and properly supplied. Clients have sufficient supplies for personal hygiene. Common Areas: These areas include but are not limited to activity areas and common areas. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. Surrounding Grounds: The LPA observed each room and no hazards are present. There are no bodies of water or fire arms on the premises.
Record Review: A review of facility files was initiated. The LPA observed documentation of Infection Control, Disaster prevention and last fire drill. The LPA reviewed four (4) staff, and five (5) client files. All documents reviewed appeared complete and current. Medications: During the facility visit a medications review was initiated. Medications are centrally stored and locked in a cabinet inaccessible to clients in care; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review.
No deficiencies were cited during today's inspection. Exit interview conducted and copy of the report was provided to Brianna Merritt.
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