Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Alexis Nixon, and staff, Mary Hipolito, and explained the reason for the visit.

At approximately 11:00 am, with the assistance of staff, LPA took a tour of the physical plant. The facility is a two story building, licensed to serve four (4) ambulatory residents only, age 18-59. The smoke alarms are inter-connected. There are three functional carbon monoxide detectors (two in first floor, one in second) that are functional. There are two fire extinguishers. One is located by the kitchen, and the other is located in the second floor hallway. The fire extinguishers were purchased on 06/14/24 and 07/06/24. Heating and cooling is centralized and controls are located in the hallway on the second floor. Interior temperature is 72 degrees for the day. There is a locked closet on the first floor, where cleaning supplies are kept.

Kitchen: The kitchen appliances and fixtures appear to be functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Extra emergency food supply kept locked in the medication room.

Bedrooms: There are five (5) bedrooms. Four (4) are designated for residents' use, and one is for staff. Bedrooms #1 to #4 are for resident use. All four bedrooms are private. All bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Bedroom #5 is designated for staff.

Bathrooms: There are two and a half (2 1/2) bathrooms designated for residents' use. The half bathroom, with toilet and sink, is located in the first floor. It can be used by both residents and staff. The full bathroom, with shower, toilet and sink, for resident use is on the second floor. There is a bathroom schedule for