Facility Evaluation Report

On 5/28/24 at 8:29 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 Ma-Rhona Amado who contacted the Administrator, Jay Samilin. LPA Baptiste explained the reason for the visit to both the Administrator and Assistant Administrator. 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 5/23/2024. 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 interviewed three (3) 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 space, 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. Assistant Administrator stated client punched a hole in the wall. The two bathrooms contain a working toilet, basin, and water faucet. One (1) bathroom contained a walk-in shower with grab bar, shower chair, and bathmat. The temperature measured at 118.5*F-117.5*F. The smoke detectors were interconnected, tested, and observed to be working properly. The carbon dioxide is located in the hallway tested and observed to be working properly.