Facility Evaluation Report

On 6/18/2024 at 10:45 AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct 1-Year Annual Required Inspection. LPA met with Bernadeth Relon- Administrator (ADM) and explained the purpose of the visit. Administrators certificate (6041163735) is valid and expired on 6/15/2024. The facility’s fire clearance was approved for all six (6) non- ambulatory clients. Upon entry, LPA observed three (3) staff and four (4) clients present during inspection.

Starting at 11:00 AM, LPA toured facility with ADM including but not limited to six (6) bedrooms, two (2) bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which all 4 bedrooms are private, one room is shared, and one staff room. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 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 109.8 Degrees Fahrenheit. Clients’ bathrooms are equipped non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Sharps and toxins were locked and inaccessible to clients'.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was observed last serviced on 12/11/2023. First aid kit was observed to be complete.