The LPA and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. During today’s visit, the four residents were at day program.

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 of 72 degrees. Smoke detector(s) and carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 06/18/2024. The LPA observed required postings throughout the common space.

KITCHEN: Knives and cleaning supplies are stored inaccessible to the residents in care. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The hot water temperature measured at 112.8 degrees Fahrenheit.

BEDROOMS: The facility has five (5) bedrooms, one bedroom is shared and three are private bedrooms, and one (1) staff bedroom. Bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There was a linen closet in the hallway with extra towels and linens.

Continues on LIC 809...

OUTDOOR AREA: The front yard has a covered outdoor area equipped with furniture for client use. There are two side gates for client use and are single-latched. No bodies of water noted. The washer and dryer are located in the kitchen area. Cleaning supplies and disinfectants are kept in locked cabinets in the kitchen area

RECORDS: Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order.

MEDICATIONS: Medications were reviewed, and medications are centrally stored and locked in a cabinet in the kitchen area; 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: 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 COVID-19.

The LPA reviewed the following documents: