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25 | Licensing Program Analyst (LPA) Cuadra, arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Christina The. Clients were attending day program during visit.
LPA/Administrator tour the facility 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 109.2 and 111.7 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Kitchen cabinet containing cleaning supplies was locked as well as the kitchen drawer containing knives. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in a cabinet. Cash resources and their documentation were reviewed. Fees are current.
Fire extinguishers were last inspected May, 2024. Facility has hardwired combination Smoke/Carbon Monoxide detectors located throughout the facility that were operational. Facility is equipped with a fire door that closes when smoke alarms are activated. Most recent Fire/Disaster Drill was conducted 5/13/2024. Hospice waiver for 1 resident was reviewed.
File review was initiated at 12:30 pm. Three staff files and four client files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Christina The 7054251735 expires 9/22/2025. Medications and medication records were reviewed.
Administrator to submit updates of the following documents by 7/19/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), surety bond and lease agreement.
No deficiencies cited during this inspection. Exit interview was conducted with Administrator and a copy of this report was given. |