Facility Evaluation Report

On 01/31/24 at 12:00pm, Licensing Program Analysts (LPAs) L. Hall and T. Syess-Gibson arrived unannounced to conduct an Annual 1-year required inspection. LPAs met with Jechane Reyes, Manager Director, and explained the reason for the visit. The facility's fire clearance was approved for 40 ambulatory and 20 non-ambulatory.

LPAs inspected the facility with Program Director, which included but not limited to the bathrooms, kitchen, and common areas of the facility. LPAs observed the facility to be free of odor, clean and in good repair. There is a comfortable room temperature of 70 degrees Fahrenheit for clients in care. Grab bars mats were observed in bathrooms and throughout the facility. Clients bring their own lunches and snacks to facility. The hot water temperature in the shared bathroom measured 90.2 degrees. All observed toilets and hand washing stations are maintained in a safe, sanitary, operating condition. There are no bodies of water or fire safety hazards observed. Carbon monoxide and smoke detectors found to be in working order. Centrally stored medications, toxins and sharp objects were locked and inaccessible to clients. Emergency disaster plan last updated 3/2/2021. Fire extinguisher last services 7/7/2023. Fire drill last conducted 6/21/2023. First aid kit was checked and is complete.

LPAs reviewed five (5) staff files. LPAs reviewed six (6) clients and all were current and complete.