Facility Evaluation Report

On 10/30/23, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Ahmed Saafir and explained the purpose of today’s visit. The facility is licensed to serve 34 ambulatory and 2 non-ambulatory mentally disabled adult clients with restricted health conditions ages 18-59. Current census is 23, and there are currently 0 adult clients with restricted health conditions in care.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: 2 separate 2 story buildings. Building #1 is equipped with the TV room, office, a room used as a pantry, dining room, kitchen, a staff restroom and 2 units on the second floor. Building #2 is equipped with 4 units between both floors and a laundry room. All units are equipped with 3 rooms and 1 bathroom. There are no bodies of water nor firearms on the property. The front yard is free of debris/hazards.

LPA conducted a records review of 3 staff records, 4 client records, and 4 medication administration records. No discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 02/08/23, fire extinguisher fully charged and observed throughout the facility, carbon monoxide and smoke detectors observed and are operational. Landline and internet service was observed.

Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water