Facility Evaluation Report

Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with Assistant Administrator, Maria Tavarez who assisted with the visit.

The facility is licensed to serve 4 clients between the age of 18 and 59 years old. Approved for 4 non ambulatory, of which 2 shall be bedridden. Approved hospice waiver for 2. The facility is a single-story building in a residential area, with a sitting room, kitchen, dining room, Living room with covered fireplace, 4 bedrooms, 2 bathrooms, detached garage, and a backyard. The carbon monoxide/ smoke detectors were observed and tested in working condition. Fire extinguisher observed on the kitchen wall.

LPA discussed infection control practices with assistant administrator and care giver, toured the facility inside and out, reviewed food supply, reviewed staff files, and reviewed resident medications.

LPA observed all bedrooms with the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. Passageways and exits are free of obstruction. The backyard is well maintained with shaded area. The bathrooms are clean, and showers have non-skid materials and grab bars. The hot water temperature measured between 111.6- 114.6 degrees F. LPA toured the kitchen and observed 7 days of perishables and 2 days nonperishable. All sharps are locked and secured. The facility temperature at the time the visit was comfortable. There is sufficient lighting throughout the facility. Medications reviewed for all residents and appears to be given as prescribed. Staff file review was complete and have the required background and health screening. Infection control signs posted throughout the facility and LPA observed 30 days’ supply of PPE’s located in the sitting room. Last disaster drill conducted May 18th, 2022. Administrator certificate # 6000617735 expire 7/8/2023.