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25 | Licensing Program Analyst (LPA) Alviso arrived to conduct a Required - 1 Year visit, on 3/19/25 at approximately 9:50am, and met with Administrator Lindsey Gregori.
Facility has an approved fire clearance for six (6) ambulatory only. Facility currently has four (4) clients in care. The clients all attend day program; Clients were not at the facility during the inspection.
Facility has a required emergency disaster plan. Facility has a required infection control plan.
LPA reviewed four (4) client files. All files were complete. Administrator handles P&I cash for three clients only. P&I client cash funds were accurate and records completed as required. P&I funds were locked and secured as required.
LPA reviewed three (3) staff files. Administrator Lindsey has a current administrator certificate, #6017082735, expires 5/27/26. All staff have criminal record clearance as required. Staff have required training; Staff have required first aid certification and CPR certification.
The LPA toured the facility with the Administrator. Hot water was checked at 120. degrees Fahrenheit; Administrator will ensure the hot water is no higher than 120. degrees and no lower than 105. degrees Fahrenheit. All exits were clear and unobstructed. Fire extinguishers, two (2), were fully charged. Carbon monoxide detector worked properly during the inspection. Smoke alarms worked properly during the inspection. Food supply was sufficient. There was sufficient supply of cleaners/disinfectants, paper products, hygiene products, and personal protective equipment (PPE) for use as needed/required. Facility was at a comfortable temperature during the inspection. Medications were locked and secured as required. Cleaners/disinfectants were locked and secured as required. Knives and other miscellaneous items were locked and secured as required.
There were no deficiencies cited during today's inspection.
Exit interview was conducted with Administrator. |