Facility Evaluation Report

Licensing Program Analysts (LPA) Elizabeth Irra conducted the required annual inspection. LPA met with Beverlyn Fortaleza (S-1) and discussed the purpose of today’s visit. Christopher Ignacio (Assistant Administrator/S-2) arrived shortly to assist with this visit. Shabaz Baiz (Administrator) arrived at approximately 9:30 A.M..

This home is approved for (32) ambulatory clients. This home consists of (16) shared bedrooms, (9) bathrooms, dining area, kitchen, laundry room, activities room and a staff office.

LPA utilized the Compliance and Regulatory (CARE) tools for the visit today and observed the following:

Infection Control: Facility has an Infection Control plan in place.

Operational Requirements: Staff are adhering to operational requirements.

Physical Plant & Environment Safety: Smoke alarms and carbon monoxide detectors tested and operable. Fire extinguishers appear to be full and are located throughout the facility premises. Last fire drill was conducted on 08/27/24. The following rooms were inspected: 1, 3, 7, 8, 10, 11, 12 and 15. The following bathrooms were inspected and hot water temperature was measured: #2 (111.0*), #3 (108.5*), #5 (114.0*) and #8 (115.0*). Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients.

Refer to LIC 809C for the continuation of this report.