Facility Evaluation Report

On 3/18/24 at 12:20 p.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Citadel Home #2. Upon arrival LPA was greeted by Direct Support Professional (DSP) Melanie Sorano who contacted the Administrator. The Administrator Christopher Bundalian arrived at 12:40 p.m., to assist with today's visit. The facility is license to serve age range 18 through 59. Approved for four (4) ambulatory, of which one (1) may be non-ambulatory and one (1) may be bedridden in room #1. Hospice approved for one (1) Dementia plan submitted. There were (4) clients in care during the time of this visit. The last emergency disaster/fire drill was conducted on 12/15/2023. The Administrator Certificate expires on 8/03/2024 #6053203735. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (3) staff files, (4) client files, medications, and medication administration records for (4) clients and P&I.

This home contains 4 resident bedrooms, 2 bathrooms, living room, kitchen, dining room, office space, storage room, and an attached garage. LPA toured the physical plant with the Administrator. and observed (3) resident bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The remaining client was sleep and door is locked. The two bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, shower chair, and bathmat. The temperature measured at 115.8*F-117.5*F The smoke detectors were battery operated and tested and observed to be working properly. The carbon monoxide detector was located throughout the facility, tested, and functioning properly. There were (2) fire extinguishers located in kitchen and garage 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 underneath kitchen sink. Cleaning agents and toxins were locked in the garage. 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. Walls and floors, cabinets and counters were clean and sanitary throughout the home.