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25 | Licensing Program Analyst (LPA) Christine Wong conducted an annual required visit. LPA met with Administrator- Crysel Santos and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures and observed food supply. Facility has submitted a mitigation plan and was approved on 03/17/2021
The facility is licensed to serve 98 mental disabled adults between aged 18-59 years old and ambulatory only. The facility is operating within the scope of it's license. The facility is a two story residence which consists of 51 client rooms. 35 clients rooms are downstairs and 12 clients rooms are upstairs. There are 36 bathrooms downstairs and 13 bathrooms upstairs. The showers are jack and jill showers and on each side of the showers there are clients of the same sex. The facility also consists of reception, staff office, activity room, medication room, dining area, kitchen and laundry room. There's a three side of shared open patio/gym and parking lot with a smoking area in the back of the facility. Each clients room has two beds. There are about four single rooms in the facility (Rm#18, #38, #40 and #51). During the visit, LPA toured Rm#1, #4, #8, #10, #38, #40, #41 and #50) Each clients room has a smoke detector, bed, linen, dresser, light, and sufficient closet space. LPA observed the shower in Rm#1 and there's a big hole on top of the ceiling. Hot water temperature was measured between 88.9 degrees and 103.4 degrees F which is not met the range of Title 22 regulation. LPA toured kitchen and viewed food supply both perishable and non perishable to be within requirements. All the cleaning supplies and sharp utensils are locked and inaccessible to clients. Clients medication are centrally stored and locked in the medication room. LPA inspected the smoke detectors and carbon monoxide detectors and they are operated properly.
Facility is currently following COVID 19 recommendations regarding COVID 19 signs throughout the facility, facility is disinfected every shift or as needed, restrooms have sufficient soap, paper towels, and signs, facility has an isolation room and PPE supplies are stored for more than 30 days. (See LIC 809C) |