Facility Evaluation Report

On 05/06/2024 at 9:30 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection using the CARE Inspection Tool. This is an Adult Residential Facility (ARF), level 3 with an approved fire clearance for four (4) ambulatory clients. LPA was greeted by staff #1(S1) and staff #2 (S2) who granted access. S1 informed the administrator, LPA was at the facility. Administrator, Salbi Aidinova met LPA shortly after and LPA explained the reason for the visit.

At approximately 10:00 a.m. LPA and the administrator toured the physical plant of the facility, and the following was observed.

Kitchen/ Dinning areas: The kitchen was observed to be clean and clear of clutter. Appliances and fixtures were functioning properly. LPA observed a sufficient amount of 2-day perishable and 7-day non-perishable supply of food; properly stored. On one of the kitchen's walls, LPA observed one (1) fire extinguisher fully charged with purchased date, 06/11/2023. By one of the dinning walls LPA observed required facility postings. Dining areas had appropriate table and chairs to sit the capacity of the facility. LPA observed, first aid kits, client medications, facility files and knives kept locked in a closet by the kitchen. LPA observed the facility telephone on the kitchen counter, operational.

Garage: Garage is located by the kitchen accessible to clients and staff. LPA observed extra refrigerator with food and extra pantry food. LPA observed facility vehicle parked in the garage.

Living rooms: The facility has two (2) living areas. Both were observed clean and properly furnished. Two (2) fireplaces were observed closed and secured with screens. LPA observed a television and games for client use.

Laundry: Laundry room is located by the bedrooms. Detergents, extra cleaning supplies, and toiletries where observed locked in a closet by the laundry room. Washer and dryer were observed operational.