Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Annual Required / Infection Control Visit to the above facility. LPA was met by Administrator Adeshola Stewart-Abe and the purpose of today’s visit was explained.

The home is licensed to serve up to (4) four ambulatory clients ages 18 - 59. There are currently (3) clients in the facility . and all (3) clients are ambulatory. The facility consists of : Living room, dining room, kitchen, 3 client bedrooms, 2 bathrooms, laundry room, office and a garage. Physical plant inside and outside is in good repair.

LPA and Administrator Stewart-Abe toured the entire facility inside and out. Documents are posted as mandated. Client bedrooms contain the mandated furniture. The bathrooms are clean and operational. First aid kit is fully stocked with manual, smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to clients. Medications and files are current and kept in a locked file cabinet. Food supply was adequate for 2-day perishable and 7-day non-perishable. Hot water temperature is 115 degrees Fahrenheit, linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to clients, Exit, walkways and/or passageways, are free of debris and/or hazards.

COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, and in all common rooms bathrooms and hallways.

Clients are able to use their private rooms as a designated isolation room if a COVID-19 positive case should arise.