1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Assistant Administrator Editha Briones, and was granted access into the facility. Licensee was unavailable in person, but available by phone. The facility was decorated for Christmas and the program was having a holiday party with food and gifts at the time of visit.
LPA toured the facility which was found to be clean, in good repair, and at a comfortable temperature of 72 F. Exits free from obstruction. The facility consists of a kitchen, 2 bathrooms, storage room, a multi purpose room, and two staff offices. Bathrooms contained necessary grab bars. Hot water measured at 117 degrees F which is within Title 22 regulations of 105 to 120 degrees F in faucets used by clients. Participants typically bring their own lunches and snacks unless there is a party or special occasion. Facility does not dispense medication to clients in care. Three fire extinguishers were observed to be present and fully charged with an inspection tag date of July 10, 2024. Smoke Detectors sound directly to the Fire Station. Carbon Dioxide Detector was tested and found to be operational during the inspection. A review of 5 client and 5 staff records were conducted. First Aid Kit was inspected and found to be appropriate during the inspection. LPA reviewed the Emergency Disaster Plan and found that document to be appropriate during the inspection. Last fire drill was conducted in November 15, 2024.
LPA requested the following documents:
LIC 500-Personnel Report
LIC 308-Designation of Responsibility
Proof of Liability insurance
Control of Property
Client Roster
No deficiencies were found at the time of inspection No citations issued
. Exit interview was conducted and a copy of this report was given. |