Facility Evaluation Report

On 10/11/24 Licensing Program Analyst (LPA) 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. Administrator provided with upcoming annual fees info and pin.

The facility is a (2)-story commercial apartment building 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, all units are equipped with 3 rooms and 1 bathroom, there is an outside laundry room. 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, 4 P&I ledgers, and 4 medication administration records. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 06/21/24, fire extinguisher fully charged and observed throughout the facility, carbon monoxide and smoke detectors observed and are operational. Landline and internet service was observed.

Exit interview conducted with administrator, appeal rights explained and a copy of this report was provided.