Facility Evaluation Report

On 9/15/2023 starting at 12:35 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct 1-Year Annual Required Inspection. LPA met with Vivian Largusa, Program Director and explained the purpose of the visit. The facility’s fire clearance was approved for one hundred five (105) clients, which twelve (12) may be non-ambulatory. Upon entry, LPA observed four (4) staff and eight (8) clients present during inspection.

Starting at 9:37 AM, LPA toured facility with PD including but not limited to six (6) rooms, three (3) bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 Degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients'. The hot water temperature in clients’ common area bathroom was measured at 115.5 Degrees Fahrenheit. Sharps and toxins were locked and inaccessible to clients'.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was observed last serviced on 1/18/2023. First aid kit was observed to be complete.