Facility Evaluation Report

On 08/11/23, Licensing Program Analyst (LPAs) Ernand Dabuet and Socorro Leandro conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with lead caregiver Rino Santos. LPA explained the purpose of today’s visit. Muqeet Dadabhoy was unavailable to be present for the visit. The facility is licensed to operate for (6) non - ambulatory elderly adults ages 60 and above. Currently, the facility has (2) hospice resident in care. The facility is approved for (2) hospice resident.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: (4) residents' rooms, (2) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, an outside seating area, and a garage.

LPAs toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 107.9 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility.

LPAs observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. A fire extinguisher was charged. A review of the Medication Administration Records (MAR) was observed to be maintained.