Facility Evaluation Report

On 6/1/23 at 9:21 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Santos Home. Upon arrival LPA was greeted by Assistant Administrator Marhona Amado who contacted the Administrator, Jay Samilin, at 9:30 a.m. to assist with today's visit. This home is licensed to serve (4) Developmentally Disabled Ambulatory Adults, (1) non-Ambulatory and (3) Ambulatory Adults ages 18 through 59. The is a level 4G home and the vendor is Harbor Regional Center. There were (4) clients in care during the time of this visit. The last emergency disaster/fire drill was conducted on 5/25/2023. The Administrator Certificate expires on 6/02/2024 #6017360735. 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, medication administration records for (4) clients and P&I. LPA (2) interviewed staff and due to all clients limited communication LPA could not proceed with client interviews.

This home contains 4 bedrooms, 1 staff bedroom, 2 bathrooms, living room, office, kitchen, dining room and an attached garage. LPA toured the physical plant with the Administrator. and observed all (4) client bedrooms, contained required furniture, lamps, dresser, chair, and closet space. LPA observed in client #1 bedroom a hole was located in the wall above the client bed. Assistant Administrator stated client punched a hole in the wall. 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 123.8*F-125.2*F respectively which does not meet title 22 guidelines. This poses a potential safety hazard to the clients in care. The smoke detectors were battery operated and individually tested and observed to be working properly.