Facility Evaluation Report

LPA Hiratsuka conducted this unannounced annual visit. Administrator arrived during visit. LPA observed three staff on duty.

This building has two floors. The first floor are for residents and the second floor are for staff. LPA toured both inside and outside of the facility. All exits have audio alerts on the doors.

Staff files were reviewed. LPA observed that annual staff training appears to be due starting this month through March and reminded administrator to work on annual staff training. Emergency drills are conducted quarterly.

The follow was observed and cited during today's visit:

-The backdoor of the building had a small metal rod that was stuck into the frame to the door on the bottom right side of the door frame that prevented the door from opening. This is a violation because it prevents the residents from leaving the facility. The caregiver removed the small metal rod and was instructed by LPA that it cannot be used to prevent the door from being opened. Only locks approved by the fire inspector are allowed on doors.

-A gardening machete was found in the backyard on a bench. This was accessible to residents. It was removed and locked in a shed during visit.

-There are two storage sheds in the backyard. One stored chairs and other facility items and is where the gardening machete was place and the other stored paint and other items. Both were found with no locks on them. This poses an immediate hazard to residents. LPA was shown that locks were found and placed on the doors for the sheds during visit.