Facility Evaluation Report

On 12/02/2022, Licensing Program Analyst (LPA) Wendy Gibbs conducted an unannounced required annual visit with a primary focus on infection control measures using the CARE inspection tool. Currently, there are (three) 3 ambulatory clients and one (1) non-ambulatory. LPA met with Administrator Janice Harrison and Nilda Ramos and toured the inside and outside grounds of the facility.

Structure The facility is a single-story home in a residential neighborhood. There are four (4) bedroom, two (2) bathroom, living room, kitchen and attached garage, which is inaccessible to residents.

Physical Plant LPA walked the grounds. There is a shaded seating area available in the backyard for residents. All walkways were free of obstructions, hazards and debris. LPA observed no bodies of water.

Bedrooms LPA inspected all three resident bedrooms and the staff room. All bedrooms have the required furniture. There is a dresser, nightstand, bed and chair available for all clients. Ample closet space and lighting were observed in each room. All beds had a mattress cover, fitted sheets, blankets, comforter and pillow.

Bathrooms LPA inspected both bathrooms and found that they were in good working order. Toilets, faucets and showers were in good working condition. The showers were clean and free of mildew or mold, they had secured grab bars, non-skid mats and shower chairs. There was an ample supply of hygiene products for the residents. The water temperature measured between 107.2-106.2 degrees Fahrenheit.

Linens & Hygiene LPA observed an ample supply of linens, blanket and comforters. There is additional hygiene supplies stored.

Kitchen All appliances were in good working condition. All cutleries were in good condition and there was an ample supply. LPA observed a 3-day supply of perishable food and a 10-day supply of nonperishable food. All knives and toxins were locked in a cabinet and inaccessible to residents. The water temperature measured 108.7 degrees Fahrenheit.