Facility Evaluation Report

On 9/8/2023 at 9:30 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted a site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with the Administrator / Swarna Amarsinghe who assisted with the visit. The facility is licensed to serve for a capacity of forty eight (48) clients ages 18-59, Ambulatory only. The Administrator Certificate expires on 3/24/2024 #6014768735. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the carbon monoxide detectors, reviewed (5) staff files, (10) client files, medications, and medication administration records for (10) clients.

The facility is operating within the scope of it's license. The facility consists of 6 separate buildings. Building 1 includes a living room, dining room, office, kitchen, six bedrooms (shared) and two bathrooms. Building 2 includes bedrooms (shared) and 2 bathrooms. Building 3 includes 1 bedroom (shared), 1 bathroom, laundry room and storage room. Building 4 includes 2 bedrooms and 1 bathroom. Building 5 /Office includes 10 bedrooms (shared) and 5 bathrooms. There is one vacancy in room #12. Building 6 /Trailer includes 3 bedrooms, 2 bathrooms, a living room/lounge and a kitchen (without a stove). No cooking is done in the trailer, but the area is used by ABC adult school.

LPA toured the physical plant with the Administrator. and observed all client bedrooms, contained required furniture, lamps, dresser, chair, and closet space. In building #4 Room #6 the closet door was broken. In building #6 Room #1 the client dresser drawers were broken. The bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, shower chair, and bathmat. The carbon monoxide detector was located throughout the facility, tested, and functioning properly. There were fire extinguishers fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured. LPA observed underneath the kitchen sink was unlocked and contained cleaning agents and toxins. The pantry was well stocked with canned goods, pasta, cereals, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines.