Facility Evaluation Report

On 04/28/25, at 09:52 am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. Upon arrival, LPA met Caregiver, Farah Siddiqui . Maria Bangash the designee administrator was called and arrived at 11:30 am.

LPA asked for the census, resident, and staff files. The physical plant was toured inside and out at 10:45 am.

Living and dining room furniture is accessible for six (6) residents. There is a television and enough seating for six (6) residents. Furniture was observed to be in good condition. There is a fireplace in the living room area that has a black covering. There is smoke detectors/carbon monoxide all over the house. The smoke detectors are hardwired and interconnected and were tested. There is one (1) carbon monoxide against the wall at the entrance of the facility near the dining room area. They were functional. The facility temperature varies between 70-72 degrees Fahrenheit. There are several through out the house. There is one (1) fire extinguisher that is dated April 10, 2025. There is an extra/freezer refrigerator in the dining area.

Kitchen area was sufficiently stocked with seven (7) days of perishable and seven (7) days of non-perishable food. There are two (2) refrigerators in the kitchen area. The cabinets have canned goods. Sharps are kept secured and locked in one (1) of the cabinets on your left-hand side. The toxins are kept in the kitchen area in one (1) the cabinets locked and secured also inaccessible to residents on your left-hand side. The first aid kit is located in one of the bottom cabinets in the kitchen area.