Facility Evaluation Report

On 10/01/2025 at 9:10 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Bibiana Alina, and explained the purpose of the visit. Staff notified the Administrator, Amelia Alfonso, of the visit. Administrator gave verbal authorization for staff to sign the report. Administrator certificate is current.

LPA toured the facility including inside and out but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which all bedrooms are occupied by the clients and two bathrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 73 degree Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 109.2 degree Fahrenheit. The supply of extra hygiene's was available for clients.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/26/2025. First aid kit was observed to be complete. Emergency drill was last conducted on 04/16/2025.

At 10:33 AM, 5 of clients records were reviewed. At 11:06 AM, 4 staff records were reviewed and 4 of 4 are associated with the facility. LPA reviewed client's P&I money with log. LPA reviewed two sample of client's medications.