Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit at the facility using the CARE tool. LPA met with Assistant Administrator and explained the reason for the visit Administrator Zosimo Pascasio arrived shortly after and assisted with the visit. Facility is licensed to serve 28 adults between the ages of 18-59 years old. Facility has multiple single story buildings. It is in a residential area and consists of 14 client rooms, 5 client bathrooms and 1 staff bathroom, kitchen, dining room, Activity / TV room, laundry room, med-tech room, rear backyard, and a courtyard in the center of the property. LPA toured the facility. There are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard and courtyard in the center of the property. LPA observed cigarette's boxes and cigarette butts outside of building C. Walls and windows of the buildings were dirty and dusty. The kitchen was inspected. LPA observed all kitchen equipment to be clean and in working condition. LPA observed sufficient supply of 2 day perishable and 7 day non-perishable foods. LPA observed 4 refrigerators in the facility. Sharps are locked in the kitchen and inaccessible to residents. Smoke / Carbon monoxide detectors were in compliance and operational. 5 Fire extinguishers observed at the facility fully charged. Facility common areas: dining room, Activity / TV room are fully furnished for client use. The laundry room is at the back of building C. LPA observed laundry detergent unlocked in the laundry room. Client's bedrooms were observed and have sufficient lighting, the required furniture and bedding supplies. Bathrooms were observed in working conditions and the water temperature was tested between 75.7 - 79.5 degrees F, which is not within the required 105-120 degrees F. LPA observed that bathrooms do not have tight fitting covers for the storage of solid waste.