Facility Evaluation Report

On 01/14/2025 at 1:57PM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct an Annual 1-Year required inspection. LPA 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 clients.

LPA inspected the facility with Manager Director, which included but not limited to the bathrooms, kitchen, and common areas of both units (E & F) of facility. LPA observed the facility to be free of odor, clean and in good repair. There is a comfortable room temperature of 72 degrees Fahrenheit for clients in care. Grab bars 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 105.0 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. Toxins and sharp objects were locked and inaccessible to clients. Emergency disaster plan last updated 12/31/2024. Fire extinguisher last services 07/07/2023 Fire drill last conducted 12/05/2024 First aid kit was checked and is complete.