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25 | On 3/29/2024, Licensing Program Analysts (LPA's) Tobola & Matialu conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Administrator, Nestor Balauro. Licensee, Kevin Braud and Manager, Irene Monteclar arrived later in the visit. The facility currently provides care for 4 clients, 2 of which were attending day program at the time of visit. LPA continued with a tour of the facility with staff. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 7/26/2023. Smoke and carbon monoxide detectors were interconnected found throughout the facility, tested and to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were stored properly as per regulations on this day at the time of the visit. Water at faucets accessible to clients was measured at 111.0 degrees F which is within Title 22 Regulations.
Facility conducts and records emergency disaster drills on a quarterly basis. Medications are located in a designated medication cart and found to be secured. A spot medication count was conducted for client and found to be in order along with properly documented centrally stored medication records. LPA conducted a review for staff files and found all staff to have 1st Aid & CPR certification and annual training on file. Staff's (S1) Health Screening Report was requested by LPA's. Technical Assistance issued. S1 is newly hired and the facility is in the process of completing S1's documentation requirements. In addition, LPA's reviewed client record and found majority of documents including Needs & Service Plan, North Bay Regional Center Individual Program Plans and Physician's Reports to be current. LPA's requested for a copy of client (C1) Physician's Report as it was not located on file. C1 has not had any major changes of condition since admission. Technical Violation issued. Clients attending day program are currently provided transport to and from the facility from both the facility or directly from the day programs. There is a sufficient supply of linens, hygiene product and paper products available for client use.
LPA's observed several documented items in clients' (C1, C2 & C3) files in need of signatures. Information had been input and facility agrees to acquire proper documented signatures to ensure compliance. Technical Assistance issued.
Continued onto LIC809-C |