Facility Evaluation Report

Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conducted an unannounced annual inspection. Upon arrival LPA was greeted by staff and LPA’s temperature was taken. LPA Martinez later met with Administrator Fatuma Nassanga. At 9:40 a.m. a physical tour of the facility was conducted and the following was observed:

Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Facility has sufficient PPE supplies for more than 30 days. LPA observed staff cleaning high traffic area during the time of the visit. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. Sharps, cleaning supplies and medications are centrally stored in a locked area. Dual Smoke detectors/carbon monoxide are located throughout the facility and are hardwired. Smoke detectors and carbon monoxide detectors were tested at approximately 9:58 a.m. and appear to be functional. Fire extinguisher has a service date of 01/19/2022. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a comfortable temperature of 69.0 F. There is an additional closet in the living room that contains cleaning supplies and laundry detergent that remains locked and inaccessible to clients. Clients Rooms: Facility has six (6) bedrooms which of four (4) are designated for client use. All six (6) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the clients. Towels are not shared. All rooms have adequate lighting. Bathrooms: There are three (3) bathrooms in the facility of which two (2) are designated for client's use. LPA observed all bathrooms to have grab bars and non-skid mats. The hot water was tested and measured at 107.3 F. All trash cans located in the bathrooms had tight fitting lids.