Facility Evaluation Report

On 4/24/2025 at 9:10 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Administrator, Ramona Rachita and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Ambulatory. Residents were away at the day program.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 4 bedrooms are occupied by the clients and 2 bedroom is occupied by staff. A comfortable temperature for clients is maintained at 68 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 108.0 degree Fahrenheit in bathroom 1 and 106.9 degree Fahrenheit in bathroom 2. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene’s were available for clients. There is a minimum of 7 day supply of non-perishables and 2 day perishables food supply. Pool was observed locked and secured.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 4/10/2025. Emergency Disaster Drill was last completed on 4/10/2025. Emergency disaster plan available. First aid kit was observed to be complete.

At 10:00 AM, 6 of 6 clients’ records were reviewed. At 9:15 AM, 2 staff records were reviewed, and 2 of 2 have current first aid training and associated to the facility. Surety bond is sufficient for P&I.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.