Facility Evaluation Report

On 09/25/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Program Manager, Calvin Sheppard. Administrator, Gerald de Claro arrived a short time later.

LPA reviewed facility records. Upon review of client records, LPA found that 2 clients did not have a current IPP on file. Staff records were reviewed and found to be complete. LPA reviewed the emergency disaster plan. The last fire drill was conducted on 05/06/2024.

LPA conducted a tour of the facility with the Program Manager. LPA observed various activity rooms. Clients were observed to be socializing with peers and doing various activities. LPA observed an isolation room. Facility does not provide meals, clients bring their own meals. LPA toured facility restrooms. Hot water measured at 123.2 degrees F. Facility administers noon medications to clients in care. Medications reviewed and observed to be administered as prescribed.

Exterior tour conducted. All passageways were open and clear from obstructions. Smoke detector and carbon monoxide detector observed to be operation during this inspection. Fire extinguisher was last serviced on 10/19/2023.