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25 | Licensing Program Analyst (LPA) Teresa Camara conducted a continuation of the Required Annual Inspection at the facility. LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Liz Aced-Arnett. LPA and QAS met with Day Program Manager Joseph Laporte and Case Manager Sonia Salinas. LPA explained the reason for the visit. The administrator is currently out on leave of absence.
This facility is vendored by Tri-Counties Regional Center and the QAS conducted their annual visit for TCRC during the visit. Upon arrival, there were thirty-four (34) clients and thirteen (13) staff.
At 10:00 a.m. LPA tested the hot water in the bathroom which measured 115*F. LPA had toured the physical plant on 8/1/2024 and found no health and safety hazards during that visit. LPA reviewed the facility's disaster response plan and last two disaster drills which took place on 2/7/2024 and 9/25/2024.
STAFF RECORDS: QAS and LPA reviewed seven (7) staff records. All staff on schedule are cleared and associated to the facility. There were some training items missing from the records that could not be located. A technical advisory was issued for missing documents and QAS gave the facility 60 days to locate the documents and provide them to QAS.
CLIENT RECORDS: LPA and QAS reviewed three (3) client records. All required CCL documents were found in the records. Medications were reviewed for three (3) clients which appear to be given as prescribed.
INTERVIEWS: LPA interviewed four (4) clients and four (4) staff; there were no concerns.
No deficiencies cited. Exit interview conducted and report issued. |