Facility Evaluation Report

On 11/08/2023 at 10:39 am Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection.

LPA met with Michaela Carpaccio, Executive Director/Clinical Director and Malia Joy Lindy, Director of Operations. The facility is licensed for six (6) ambulatory clients for short-term care. There are currently three (3) clients in placement. During the tour with Malia Joy Lindy, Director of Operations observed sufficient paper, cleaning supplies, and disinfecting supplies. The facility’s designated visitation areas are located throughout the facility. All four (4) rooms were inspected. LPA toured basement. Rooms were observed clean and in good repair. Mattress and bed frames were observed to be in good condition.

Adequate lighting was observed in all rooms and bathrooms.Storage for client’s personal belongings was observed and plentiful. The required furnishings were observed in all rooms.There are no security bars or weapons on the premises. The facility has 11 bathrooms in total. Two of which are used for storage. Client bathrooms were checked. LPA observed sufficient liquid soap and paper towels. LPA observed lighting, faucet and fixtures to be working in all bathrooms. Showers were free of mold/mildew. The water temperature measured between 105 F-120F. A comfortable temperature was maintained in the facility.

LPA toured the kitchen area and observed a two-day (2) supply of perishable and a seven-day (7) supply of non-perishable food. Knives and toxins were observed locked and inaccessible to clients in care. Centrally stored medications were observed stored in their originally received containers and kept safe and locked and inaccessible to clients in care. The First Aid kit was available. Several fire extinguishers were observed throughout the facility. Cont. on 809C