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25 | On 9/24/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required one year annual inspection. LPA Jensen met with Administrator Marisol Moreno and explained the purpose of today's visit.
LPA Jensen toured the grounds and observed all paths to be free of obstruction. LPA Jensen toured the interior physical plant and observed the facility to have adequate lighting and adequate furnishings. The facility has a separate wing for administrative staff, a large common area, multiple classrooms and multiple changing rooms. The changing rooms can be locked and system is in place for clients to call for assistance when changing if needed. Carpeting in class rooms and offices were observed to be stained. Technical assistance was provided. The facility was free of odor. The thermostat was set at 73 degrees Fahrenheit for the comfort of the clients. The bathroom water temperature was within the required range. The bathrooms were observed to be equipped with grab bars and individual toileting stalls are sufficiently large for staff to provide assistance where needed. All necessary postings were prominently displayed. Both staff and clients and have designated areas for storage that have individual lockers. The carbon monoxide detector was observed to be in good working order. The building is equipped with a fire mitigation sprinkler system. The fire extinguishers were last serviced in February of 2024 and are in compliance. The first aid kit was observed to be complete. Medication, knives and toxins are inaccessible to residents in care. Lunch service was observed and staff were following proper food handling procedures. There are a variety of supplies for numerous activities available. Garbage cans were observed to be equipped with tight fitting lids.
LPA Jensen reviewed 3 staff files. Staff files contained all required documentation. LPA Jensen reviewed 5 client files and found them to be complete and in compliance. All files were well organized. LPA Jensen obtained copies of the LIC 500 and LIC 308. The facility's liability insurance will be emailed to LPA Jensen by 10/1/24. The inspection tool was used during the course of this visit. The facility was determined to be in substantial compliance. No deficiencies were observed. Exit interview conducted and copy of report given. |