Facility Evaluation Report

On 4/9/2025 at 09:50am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an annual required inspection. LPA met with Kelly Simino Support Coordinator for upstairs and Fabiola De La Torre, Program Manager for downstairs. Facility is fire cleared for seventy-two (72) ambulatory clients.

LPA inspected the facility with Program Directors, which included but not limited to the bathrooms, kitchen, common areas, and the outside area of the facility. LPA observed the facility to be free of odor, clean and in good repair. Outdoor space is provided and is free of hazards. There is a comfortable room temperature of 71 degrees Fahrenheit for clients in care. Grab bars and non-skid mats were observed in bathrooms and throughout the facility. Clients bring their own lunches and snacks to facility. The hot water temperature in the client bathroom measured 116.0 degrees Fahrenheit upstairs and 116.8 degrees Fahrenheit downstairs. 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.

Fire extinguisher last services 8/12/2024. Fire drill last conducted 3/26/2025. First aid kit was checked and is complete.