Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Amparo Murvin for an unannounced one (1) year Required visit for this facility.

LPA arrived at 1:50 pm and was greeted by the Administrator. One (1) client was observed in the living room The other clients were away at their day programs. LPA informed the Licensee of the purpose of the visit.

Infection control: LPA reviewed facility mitigation plan (approved on 04/28/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by the Licensee and asked all infection control questions. LPA was asked to sign-in and sanitizer was available.

A tour of the physical plant was conducted with Administrator at 2:07 pm. The facility has four(4) bedrooms and three (3) bathrooms currently occupying three (3) clients. One (1) bathroom is designated for staff use only and the facility has awake staff at night.

LPA observed the living room to be neat and clean along with the dining room and family room. The facility maintains a comfortable temperature at 74°F. The smoke detectors dual carbon monoxide detectors were tested and observed to be operational at 2:30 pm. There are two (2) fire extinguishers, one (1) is located in the family room and one (1) is located in the kitchen. The Fire extinguishers were observed to be full and last serviced on 12/15/21.

LPA observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each resident. LPA tested the exit doors auditory system and it was observed to be operational for each room.