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25 | On 9/11/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Administrator Nicetas Abella and explained the purpose of the visit. There are currently 3 staff members plus the administrator and all have criminal background clearance and are associated to the facility. The inspection tool was used for this visit.
LPA Jensen toured the grounds and observed all paths to be free of obstruction. There is outdoor furniture available for client use. The facility maintains gardens that can be used for client engagement. Fruit and vegetables are grown that can be used for consumption. The back gate was observed to be slightly loose and may need shoring in the near future.
LPA Jensen toured the interior and observed the facility to be sanitary and free of odor. The facility had adequate lighting and furniture. LPA Jensen inspected the kitchen and observed a 2 day supply of perishable food and a 7 day supply of non-perishable food. A monthly menu is posted in an easily visible area. The interior temperature was comfortable. The water temperature in the bathroom was measured at 106 degrees and is in the required range of 105-120 degrees Fahrenheit. The smoke detector and carbon monoxide detector were observed to be in good working order. The fire extinguisher was last serviced on 8/20/24 and is in compliance. There are 2 first aid kits on site that are compliant and complete. There is emergency food and bottled water supply available. The toxins, cleaning supplies and medications are locked and inaccessible to residents in care. LPA Jensen interviewed 2 clients and both were satisfied with all aspects of care. All other clients were on outings.
The liability insurance and surety bond are current. Annual fees are paid. A copy of the LIC 500 and LIC 308 were received. LPA Jensen reviewed 3 of 3 staff files and found them to be organized and complete. LPA Jensen reviewed 3 staff files and found them to be complete. LPA Jensen reviewed 4 resident files and found them to be complete. This facility was found to be in substantial compliance and no deficiencies were observed. An exit interview was conducted and a copy of this report was given.
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