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25 | 07/29/2024 12:30 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Julie Wilcox and explained the purpose of the visit.
LPA Knight and the administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to twelve (12) client rooms, common areas, three and one half (3.5) bathrooms, kitchen, storage areas and office. Staff and resident files were reviewed. All employees requiring background checks are cleared.
Bedding, linens, and towels for clients were observed and found to be clean and in good repair. Medication is locked in a cabinet. Administrator applied for renewal of administrator certificate in April 2024 and will send LPA a copy of their new certificate once received.
The facility was observed to be at a comfortable temperature. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and were inspected in February 2024. Smoke detectors are all operational, are hard wired to the local fire department and serviced by Beacon Fire Alarms & Security Corporation. There are no pools/bodies of water are on premises. The facility has been conducting fire drills monthly.
LPA requested copies of the following documents:
LIC308 Designation of Facility Responsibility
LIC500 Personnel Report
In the areas toured no immediate health, safety, or personal rights violations were observed. No deficiencies are being cited as a result of today’s inspection.
Exit interview conducted and copy of report was provided to administrator Julie Wilcox.
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