Facility Evaluation Report

Licensing Program Analyst (LPA) Perry Scott and LPM Janae Hammond conducted an unannounced annual inspection, with an emphasis on infection control. LPA/LPM was greeted by Warren Trinidad (administrator) and we discussed the purpose of today's visit.

This facility is a gated apartment complex with two buildings. Which has a capacity for 42 ambulatory clients and currently has 34 ambulatory clients. This facility is for adults ages 18 through 59. Annual Licensing fees are current.

Building 2330 consist of a single story. LPA/LPM observed 7 client bedrooms and one bathroom which contains 2 shower stalls and 2 stalls for toilets. LPA/LPM also observed the dining area, administration office, and an office for visitors.

Building 2340 consists of 2 stories. Each section has a restroom. There's a kitchen, laundry room, staff break room and cleaning supplies room in this building. LPA observed that in bedroom #1 that the temperature was over 85 degrees. Administrator stated that the client is using a fan and a heater. LPA noted that resident is in a shared unit. Also, the sink was clogged. Administrator noted that it is going to be repaired.

There is sufficient closet & drawer space in the client bedrooms. Beds have required linen.

· S moke detectors were tested and operable. The fire extinguishers were last serviced on 03/10/22. Both the smoke detectors and fire extinguishers are located throughout both buildings and in the kitchen. The last fire drill was conducted on 05/17/22.

· Carbon monoxide detectors were tested and operable. They are located throughout both buildings.

Cleaning solutions, disinfectants are locked in the cleaning supplies room which are inaccessible to clients. These items are stored and locked in a room near the kitchen and in the laundry room.