Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Administrator Swarna Amarsinghe and explained the reason for visit.

The facility is licensed to serve for a capacity of forty-eight (48) mentally disabled adults, clients ages 18-59, Ambulatory only.

The facility is operating within the scope of its 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 2 bedrooms (shared) and 2 bathrooms.

Building 3 includes 1 bedroom (shared), 1 bathroom, laundry room and pantry room.

Building 4 includes 2 bedrooms and 1 bathroom.

Building 5/Medication room includes 10 bedrooms (shared) and 5 bathrooms.

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.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility follows Title 22 Regulations. LPA toured a random selection of client rooms.: Each client bedroom has the required furniture and bedding. There is extra clean linen and towels in building #3 in cabinet where laundry room is. Smoke detectors were observed in each room and throughout the facility and are properly operating and the bathrooms were observed to be clean and operational. The hot water temperature was tested throughout the facility. 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. 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. Cleaning supplies and toxic substances are inaccessible to clients in a locked storage in laundry room as well as within a locked cupboard in the kitchen. The outdoor patio area was enclosed. There is no pool or other large bodies of water. The back yard is free of debris /hazards and outdoor passageways are free of obstruction.