Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted a Required One (1) year annual visit and inspection. LPA met with Direct Support Professional (DSP) who granted entry and explained the reason for the visit. The Administrator was contacted via phone and arrived at 10:15AM and joined us.

The facility retains thirty-five (35) clients and is fire cleared for 36 ambulatory. Facility has 18 shared bedrooms. Disaster drill was last conducted on 06/20/2024. Required posting observed in facility (complaint hot line poster, personal rights, etc). Entry/exits are free of obstruction. The smoke detectors were checked and are hard wired throughout the facility. There is a carbon monoxide detector in the kitchen area. There is no body of water in the facility.

At 10:20AM Administrator and LPA conducted physical plant tour inside and outside. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Kitchen: The kitchen appeared clean, the appliances and fixtures functional. Knives are locked in drawer. The kitchen is kept locked at all times. LPA observed at least two (02) days perishable and seven (07) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Food storage and preparation areas are clean and inaccessible to pests. LPA observed cleaning supplies, and emergency foods supplies locked up in a storage room next to laundry room. There were three (03) freezers fully stocked with meats and a refrigerator that had additional juices and milk. The bread is purchased weekly for freshness.

The Bedrooms: There are eighteen (18) bedrooms in the facility. LPA checked random rooms and observed them to be well kept. Bedrooms were clean, properly furnished, had appropriate bedding and linens. There is sufficient lighting and closet space.