Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Administrator Bridgette Wilinski and explained the reason for the visit. The purpose of the visit is to complete the required inspection.

LPA Trueman toured the facility along with Administrator Bridgette Wilinski today 03/28/2024 at 9:25 AM and the following was observed:

Facility contains 6 Client Bedrooms and 2 Client Bathrooms, dining room, living room, TV room, and activity room.

Annual Inspection includes the following Domains:

Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records- Training, Client Rights Information, Client rights- Incident Reports, Food Service, Health Related Services, Incidental Medical Services, and Disaster Preparedness.

Interviews were conducted with 3 clients and 1 staff (only staff on duty from 8 to 6). 6 client files and 1 staff file were reviewed

Medication was administered per physician's directions.

Signage for hand washing and proper sanitizing were posted. Staff have been trained in hand washing.

Staff responsible for providing care and supervision received training in First Aid.

Licensee maintained an individual admission agreement for each client.

Hot water temperature measured between 105F. and 120 F. meeting Title 22 Regulations.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Exit interview conducted and copy provided.