Facility Evaluation Report

On 5/03/2024 at 8:50 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Jesus Casipit and explained the purpose of the visit. The facility’s fire clearance was approved for 6 ambulatory. All residents were away during visit.

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 for 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. Temperature was maintained at 65 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 114.8 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygienes were available for clients. There is a minimum of one week supply of non-perishables and 2-day perishables food supply. Freezer measured at 0 degrees Fahrenheit and refrigerator measured at 40 degrees Fahrenheit.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 7/13/2024. Emergency Disaster plan was posted. First aid kit was observed to be complete. Fire drill was last conducted on 05/01/2024.

At 9:00am, 4 of 4 clients records were reviewed. At 9:30AM, 2 staff records were reviewed and 2 of 2 have current first aid training and associated to the facility. P&I reviewed and surety bond is sufficient.

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