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25 | Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with the Administrator and explained the reason for the visit. The Administrator, Ines Otbo Administrator's certificate expires on January 24, 2025. LPA and the Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the entry way of the facility. The facility is a single story home with 6 bedrooms, 3 bathrooms, living room, 2 dining rooms, office, family/activity room, kitchen, 2 car garage and a staff room. LPA observed the fireplace in the living room is screened. LPA toured the kitchen. The kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the knives are kept locked in a kitchen drawer. LPA observed the fire extinguisher in the kitchen is fully charged. LPA toured the resident rooms. LPA observed all resident rooms are clean and organized. All resident beds had the required linens. LPA observed all 3 bathrooms are clean and operational. How water measured 110.0 degrees Fahrenheit in the bathrooms. LPA toured the garage. The garage is used for storage and kept locked. LPA observed extra furniture, supplies and perishable food stored in the garage refrigerator. The family room has chairs for residents to sit and there is a TV mounted above the fireplace for residents to watch TV. The fireplace in the family is screened. There are reading materials and games in the family room for residents. LPA observed the medication is kept locked in cabinets in the family room. LPA toured the backyard. No bodies of water observed. LPA observed a covered patio in the backyard with chairs for the residents to sit outside. Both exit gate are operational. There is storage shed in the backyard that is used to store old furniture and wheelchairs. No obstacles or hazards observed inside or outside of the facility. LPA reviewed 2 staff files, no discrepancies observed. The 2 staff had the required 20 hours of annual training. LPA reviewed 6 resident files and medications, no discrepancies observed. Smoke detectors/carbon monoxide detectors tested operational. No deficiencies observed during the visit. An exit interview was conducted and a copy of the report provided. |