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 | On 7/26/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Lead Staff/Registered Nurse (RN), Carlo Vera. Administrator, Besa Livica was contacted and arrived later in the visit. The facility currently provides care for 4 clients, some of which were attending program and but arrived later in the visit.
LPA continued with a tour of the facility with staff; facility was found to be clean and at a comfortable temperature. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 5/9/2024. Smoke and carbon monoxide detectors were inspected by an outside agency on June 17, 2024. There was a sufficient amount of food supply meeting client special provisions based on dietary needs. There was an ample supply of linens, hygiene and medical products available for clients. All client’s bedrooms have proper lighting and equipment appropriate for client care needs. LPA toured the backyard and found one emergency exit to be free from obstructions.
Water was tested at faucets accessible to clients and measured 105.5 degrees F which falls within Title 22 regulation. Sharps, cleaning supplies and other items that could pose harm if accessible to client in care were found to be secured in the kitchen area. Bathrooms were equipped with necessary equipment and devices to meet client needs. Medications are located in a designated medication room secured in locked cabinets and medication carts. Spot check of medication administration and narcotic records were found to be in order. LPA and Administrator discussed narcotic and medication destruction protocols. In addition, LPA conducted a file review for all clients and found all medical and care plan documentation up to date. Staff conduct frequent inspection on installed and portable generators for client requiring electronic health devices. Emergency disaster drills are also conducted on a monthly basis. LPA conducted P&I check for all clients and found ledger to be in order and not commingled.
Continued onto LIC809-C |