Facility Evaluation Report

At 10:55 am, Licensing Program Analyst (LPA) Huma Rahimi arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with Pradeep Rawate, Co-Administrator who granted access to the facility and LPA explained the reason for the visit. Administrator Sujata Rawate arrived shortly after.

At 11:00 am LPA conducted a tour of the physical plant and observed the following:

Facility is licensed for capacity of five (5) of which three (3) may be Ambulatory and two (2) Non-Ambulatory clients. There are five (5) bedrooms designated for clients use. Bedrooms are appropriately furnished and have appropriate lighting. The facility has awake staff. Bathrooms have soap, paper towels and hand washing signs were observed. The hot water temperature measured at 111.9°F. Extra towels and linens were readily available. During the LPA did not observe any immediate health and safety concerns. Facility maintains a temperature of 68°F. LPA observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Sharps, cleaning supplies and medications are centrally stored and are kept locked in a kitchen cabinets. The fire extinguisher was observed in the kitchen area and was last serviced on 01/22/2025. Laundry is located outside by the kitchen, and LPA observed all chemicals and detergents are kept locked and inaccessible to clients in care. LPA observed a clean covered patio and backyard furniture to accommodate the five (5) clients. Smoke detectors and carbon monoxide monitors were tested at 11:09 am and observed to be functional. Between 11:30am to 12:15pm, LPA reviewed records of four (4) clients and two (2) staff. Resident and staff records appeared to be complete and updated. LPA collected Certificate of Liability Insurance and LIC500.

Exit interview conducted and copy of this report signed and delivered.