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25 | Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and met with Administrator, Krystal Ambrecht.
LPA initiated a tour of the facility around 1:20pm and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in client bathrooms measured at 105 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked.
Fire extinguisher were last inspected November 2022. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational. Most recent fire/disaster drill was conducted March, 2023.
Four client files were reviewed. Staff files were unavailable during inspection. Administrator Certificate for Licensee/Administrator Krystal Ambrecht has expired but Administrator provided proof that they have sent in their paperwork to the Administrator Certification Unit. Medications and medication records were reviewed.
Licensee/Administrator to submit updates of the following documents by 7/6/2023:
LIC 500 Personnel Summary
LIC 508 Designation of Facility Responsibility
LIC 610 Emergency Disaster Plan (If changes)
Infection Control Plan (If changes)
LPA will return to review staff files and client cash resources. No deficiencies cited during this inspection |