Facility Evaluation Report

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold conducted an unannounced Annual Required inspection to this facility and met with caregiver Roreli Bonilla. At approximately 8:40AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Mattress pads were in place or available for Client use. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to clients. Fire extinguishers inspected were charged. Smoke detectors were tested and found to be in working order. Carbon Monoxide detector was present. Disaster Drills are conducted monthly.

At approximately 9:00AM, LPA reviewed 4 of 4 Client records and 2 of 4 Staff records, which were all found to be well organized. 3 of 4 clients are over the age of 60. LPA requested exception paperwork for each client. LPA observed S1 did not have documented training for G-Tube medication assistance. LPA observed there was no evidence the procedure for the care of a G-Tube has been reviewed annually. First aid and CPR certification were current in staff files reviewed. P&I monies were documented, secure and not commingled. LPA observed the appointed Administrator is not present at the facility a sufficient number of hours to ensure the proper administration of the facility.