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25 | At approximately 8:50AM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced Annual Required inspection to this facility and met with Leilani Jocson, Administrator and licensee Kevin Braud arrived shortly after. At approximately 9:05AM, LPA and Administrator toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Four out four clients rooms were inspected and found to be within regulation. Each of clients room is decorated and color coordinated to clients preference and personality. All linens and towels are color coordinated based on clients preferences. Mattress pads were in place or available for Client use. Advised administrator and licensee Night lights shall be maintained in hallways and non-private bathrooms. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to clients. Smoke detectors and carbon monoxide detectors are inter connected and seven out of seven smoke/carbon monoxide detectors were tested and found to be in working order. Two out of two fire extinguishers were fully charged and inspected on 9/20/2023. Fire sprinklers are located throughout the facility. Disaster Drills are conducted monthly with the last drill conducted 4/8/2024.
At approximately 10:10AM, LPA reviewed 4 of 4 Client records and 4 of 17 Staff records, which were all found to be well organized, thorough and contained the required documentation. First aid and CPR certification were current in staff files reviewed. P&I monies were documented, secure and not commingled. Administrator's Certificate is expired. Administrator, Leilani Jocson provided proof to LPA of recertification submission and course completion as well as letter requesting update of recertification processing.
No deficiencies were observed in the areas inspected. No citations issued during today’s visit
Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit:
LIC500- Personnel Report
Updated copies of the following documents were received during visit update facility file:
LIC610D- Disaster Plan |