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25 | Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced Case Management - Annual Continuation Inspection at the facility today continuing the inspection that began on 12/16/2024. LPA met with Administrator Ash Galardi and explained the reason for the visit.
Records review began at 11:00 a.m. Client records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order at this time. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Last emergency disaster drill was conducted in August of 2024. Fire extinguishers were observed fully charged and last serviced 05/18/2024. All files were observed to be in order at this time.
Medications review began at approx 12:15 p.m. medications are centrally stored and locked in a cabinet in the medication room; 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.
Infection control: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of a communicable disease. The facility has an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. The facility’s policies and procedures as it pertains to infection control are adequate.
The LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and a copy of the facility’s liability insurance. Interviews were conducted during the visit.
Exit interview conducted, discussed and copy of report issued. |