Facility Evaluation Report

On 9/17/2024 at 9:50am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced pre-licensing. LPA met with Felinor Mariano, Administrator for Fely-Mar (Administrator Mae Morales-Altobar was not available during visit) and explained the purpose of the visit. The facility has an approved fire safety clearance for five (5) non-ambulatory residents.

LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a seven (7) bedrooms and three (3) bathrooms four (4) bedrooms and one (1) bathroom is occupied by staff. No bodies of water observed. There is sufficient lighting around the facility. Clients rooms are equipped with the proper furniture, and lighting. Bathrooms showers/tubs were equipped with non skid mats. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 108.5 degrees Fahrenheit in shared clients' bathroom. Carbon monoxide and smoke detectors present and operable. Facility inspection matches the sketch that was provided.

Facility needs to correct the following before being licensed:

· Lock for chemicals and laundry detergent in garage.

· Lock Caregivers rooms which contained unlocked medication.

· Provide flat and fitted sheets for residents beds.

· Lock toolbox which contains tools located in garage.

· Remove medication (B12, multi vitamins and RX drugs) in drawer located in covered area.