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25 | Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced Annual Continuation Visit to the facility to continue the annual inspection visit initiated on 02/11/2024. Upon arrival, there was one (1) staff and two (2) clients. The other two (2) clients were still in day program. LPA met with Administrator, Jerson Soriano and informed them of the reason for the visit. Entrance interview.
During today’s visit, at 2:45 p.m., the LPA toured the physical plant areas to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations and conducted a medication review. The following was noted:
The LPA observed two (2) client restrooms, which were clean and sanitary and in operating condition with non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The LPA observed four (4) client bedrooms, which were furnished appropriately and had sufficient lighting. The LPA inspected the kitchen area at 2:55 p.m. The facility has a sufficient supply of perishable and non-perishable food. The pool is kept secured from clients. All indoor and outdoor passageways were free from obstructions in case of an emergency.
Medications: Medications review began at approximately 3:15 p.m. The medications are centrally stored in a locked cabinet adjacent to the living room. All medications including PRNs were labeled, stored, and locked inaccessible to clients. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review.
LPA conducted interviews with two (2) clients during the inspection.
Exit interview conducted. No citations issued. Report was reviewed and a copy was issued.
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