KITCHEN: The LPA inspected the kitchen/food service area at 8:43 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked. Knives and sharps were observed locked and inaccessible under the kitchen sink. At 8:46 a.m., the hot water temperature was measured in the kitchen sink, and it measured 112 degrees Fahrenheit.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 9:03 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational. Activities were observed in the living room. There is a working telephone on premises. Required postings were observed throughout the common areas. The fire extinguisher was observed with a purchase date of 06/16/2023. Cabinet with additional clean linens and towels for clients was observed by the hallway.

Continued on LIC 809C...

GARAGE: The garage was inaccessible to clients at the time of the visit. LPA observed an additional refrigerator with perishable foods in good condition. A sufficient amount of emergency food and water was observed at the time of the visit.

BACKYARD: The backyard has a shaded area with furniture for client use. Emergency exits and passageways were observed free of obstruction. There is one (1) side gate that remains unlocked for emergencies. No bodies of water noted at the time of the visit.

BEDROOMS: There are four (4) client bedrooms. The LPA observed the client bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

RESTROOMS: There are two (2) client restrooms. Restrooms were clean and sanitary and in operating condition with non-skid surfaces. The bathrooms were sufficiently stocked with liquid hand soap and paper towels; towels and washcloths are not shared. The hot water temperature was measured in client bathrooms, and they measured 112.8 degrees Fahrenheit.

RECORDS: Records review began at 9:10 a.m.; four (4) client records were reviewed for, but not limited to: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, and current needs and services plan. All records were complete.

Five (5) personnel records including the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were complete.

The facility is vendored by Tri-Counties Regional Center (TCRC) as a level 4-i home. The last emergency disaster drill took place on 03/07/2024.

Continued on LIC 809C...

MEDICATIONS: Medications review began at approximately 11:30 a.m.; medications are centrally stored and locked in a cabinet by the hallway. Medications appeared to be given as prescribed at the time of the visit.

Exit interview conducted. No citations issued. A copy of the report was provided.