Facility Evaluation Report

On 10/14/24, Licensing Program Analysts' (LPA) L. Salazar and M. Medina arrived to the facility unannounced to conduct the required annual inspection. LPAs were greeted by Karina Ramos, stated the purpose of the visit and were allowed entry into the facility. Administrator arrived to the facility shortly after. LPA Salazar will document the physical plant/operations portion of the inspection tool, LPA Medina will review facility records and document on an annual continuation visit.

LPAs toured the facility inside and out. Facility was observed to have a kitchen, common area , 5 classrooms, 5 bathrooms. Bathroom #2 and #3 were malodorous. Toilet paper, client depends and a hand sanitizer dispenser were observed on top of the paper towel dispenser. Water temperature measured at 108 degrees F. Doors and passageways were observed to be free from obstruction. Fire extinguishers were observed with a service date of 05/23/24.

LPA observed the perimeter of he facility floors to have a build up of debris, under the rubber base wall trim, in common areas and in all doorway entry's. Baseboards in all classrooms and common areas were observed to be dirty. Facility walls in the common area and classroom #5 were observed to have stains, marking's and scuffs, and holes. Paint is observed peeling on the wall where the hand sanitizer dispenser is located. (outside classroom #1) Facility common area, classrooms and offices were free from obstruction and odor. Facility temperature measured at 74 degrees F. The couch in the common area was in disrepair.

An exit interview was conducted with Administrator. LPAs observed cleaning crew arrive to the facility during the visit. Based on interviews with PD, plans of correction were addressed and scheduled during LPAs visit. LPA Salazar will return at a later date to observe the completion of the cleaning / repairs. If not completed, deficiencies will be cited. A copy of this report was discussed and provided via email with a read receipt as proof of delivery. No deficiencies cited on today's visit.

To improve the quality and value of the inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the inspection, please reach out to me or anyone at your RO. Website For additional information regarding the inspection and its CARE Tools and methods, please visit the CARE Tools web page or the Inspection Process Project web page.