Facility Evaluation Report

At 9:00 a.m. Licensing Program Analysts (LPAs) Melissa Ruiz and Angela Panushkina arrived at the facility to conduct an unannounced annual inspection at the facility mentioned above. LPA was greeted by Remedios Fajardo, District Manager who allowed access to the facility. The purpose of the visit was explained.

LPA conducted physical tour with the District Manager at 9:30 a.m. and observed the following:

Infection control: Staff were observed to be wearing masks. A sign in station was observed by the entrance. LPA observed trash cans throughout the facility have closed tight fitting lids.

Kitchen: LPAs toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility.The fire extinguisher was last serviced on April of 2023.

Medications: At 10:00 a.m. LPAs observed medications are centrally stored and locked in a hallway closet, along with all knives and sharps and inaccessible to clients in care. LPAs and the District Manager conducted a random medication count for one of three clients in care.

Common Areas : The facility maintains a comfortable temperature at 70°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility.

Bedrooms: There are four (4) bedrooms designated for clients use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens.

Bathrooms: LPAs observed appropriate grab bars and client's bathroom had non-skid mat. LPA observed appropriate hand washing signs posted in each bathroom.