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32 | (Report Continued from LIC 809...)
No bodies of water noted at the time of the visit. Activities are both designed for both as individuals and as a group. The LPA observed staff interacting with participants during time of visit. Equipment used for activities was in good condition at the time of the visit. No obstructions or hazards were observed inside or out.
Bathrooms: There are seven (7) restrooms for participant use. Restrooms were clean and sanitary. The LPA observed trash cans with lids to protect participants from cross contamination. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature was measured in restrooms, and they measured between 106.8- and 107.2-degrees Fahrenheit at the time of the visit.
File Review: Records review began at 11:06 a.m.; five (5) participant records were reviewed for the following: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, Individual Program Plans (IPP), and current needs and services plan. All participant records were in order. The LPA reviewed five (5) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, and valid first aid/CPR. Training records on file. All staff records were in order.
At the time of the visit, the LPA obtained the following documents: LIC 500 Personnel Report, Census, and a copy of the certificate of liability insurance.
Medications: Medications review began at approximately 10:50 a.m. Medications are centrally stored and locked inside a cabinet inside the manager’s office. All medications including PRNs were labeled, stored and locked inaccessible to participants. 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 medications review.
No citations issued. Exit interview conducted. The report was reviewed, and a copy was provided. |