Facility Evaluation Report

On 10/15/24 Licensing Program Analyst (LPA) L. Holmes conducted an announced annual inspection with Valencia Thomas, Direct Support Provider (DSP). LPA spoke to Care Staff, Dejeon Gomes was telephoned by phone around 11:25 AM and advised him of the purpose for the visit; DSP arrived around 12:00 PM.

LPA and DSP toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All front passageways were free of obstruction; no bodies of water were present. There was a comfortable temperature for clients. LPA observed adequate lighting in all rooms for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom measured at 110.8 F. The shared bathrooms had soap and garbage cans. PPE, sanitizer, and paper goods remain sufficient. There was a 2-day supply of perishable foods and a 7-day supply of non-perishable foods. Smoke detectors/carbon monoxide unit were in operating condition during visit. Fire extinguisher was last serviced on 07/24/2024. Emergency Disaster drill was last conducted on 07/2024. First aid kit observed complete.

The following forms are to be updated and submitted to CCLD 10/22/24:

-LIC308 Designation of Administrative Responsibility

-LIC610 Emergency Disaster Plan (Reviewed)

-An updated copy of Administrator Certificate