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25 | Licensing Program Analyst (LPA) Sara Martinez arrived announced to conduct the required annual inspection. LPA was granted entry and met with House Manager Regina Abdelghani and stated the facility does not have clients at the home. The facility has not had any residents since 2016. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following:
Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were in good repair and were present. The outdoor area was observed to be free of hazards. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. Facility contains an updated Infection Control Plan and Emergency and Disaster plan. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Laundry room contained locked cabinets to store cleaning supplies, soap, and detergents. Centrally stored medication will be locked in a cabinet located in the laundry room. LPA observed all facility exits were clear from obstructions. LPA observed emergency supplies and first aid kit with all required items. LPA reviewed staff file for one (1) staff and found staff have criminal record clearance, health screening with TB test, and updated training along with CPI and CPR/First Aid Certification.
No deficiencies were cited at the time of the visit.
An exit interview was conducted where a copy of this report was provided to Abdelghani. |