Facility Evaluation Report

On 8/03/23 at 10:50 a.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Edwin Isip, Administrative Supervisor and explained the purpose of the visit. The facility’s fire clearance was approved 6 clients of which 6 may be non-ambulatory clients.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the clients and 2 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70-degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the kitchen sink was measured at 109.6-degree Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. There is a minimum of one-week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 1/06/23. First aid kit was observed to be complete. Fire drill was last conducted on 7/24/23.

At 11:30 am, 5 of 6 clients’ records were reviewed and were complete. At 12:10 p.m., 5 staff records were reviewed, and 5 of 5 have current first aid training and associated to the facility. A sample of 3 client’s medications were reviewed.

Updated copies of the following document were requested for facility file and are to be submitted to CCL by 8/04/2023: LIC610E Emergency Disaster Plan

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