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25 | Licensing Program Analyst (LPA), Cuadra, arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Sarah Araya. Clients were at day program at the time of visit.
LPA/Administrator initiated a tour of the facility at 9:00 am and observed the following: Facility was a comfortable temperature and pathways were free from obstructions. Resident bathroom has required bath mat and grab bars. Water temperature in resident bathroom measured at 110.2 degrees F which is within the range allowed by regulation of 105 to 120 degrees F. Toxins are located under the sink in the kitchen, garage and bathroom and all were locked. At least two days of perishable and seven days of non-perishable foods were available. Medications were centrally stored and locked. Medication and medication log were reviewed. Fire extinguishers were last inspected January, 2024. Smoke detectors and the carbon monoxide detector were tested and operational during inspection. Last Disaster drill was conducted on August 29, 2023 (Technical Violation issued). P&I and cash resources were reviewed. Required postings were observed. Annual fees current. Contact information reviewed.
LPA initiated file review at 9:30am. Four resident files including medical assessment and care plans. Four staff files were reviewed. Staff have required CPR/1st aid certificates. Training records were reviewed. Administrator Certificate for Sarah Araya, 6010373740 expires on 4/10/2025.
Administrator agreed to submit updates of forms by 2/7/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Liability Insurance, Surety Bond, control of property and Emergency Disaster Plan (LIC610E) if there are any changes.
No deficiencies cited during inspection. Exit interview was conducted with Administrator and a copy of report was given. |