Facility Evaluation Report

On 11/18/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Joyce Garcia and licensee Pat Dufrenne. LPA explained the purpose of today’s visit. The facility is licensed to operate for clients ages 18-59 all ambulatory status only.

The facility is a two-story structure located in a commercial neighborhood. It consists of the following: (36) client's rooms and (32) bathrooms, an activity room, a dining area, a commercial kitchen, and a courtyard patio area.

LPA toured the physical plant with Garcia and Dufrenne. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. The client's rooms were inspected: #6, #14, #24, #25, #31, and #37. All call buttons were in working condition. Bathrooms were operational with water temperature measured at 105.0 – 111.9 degrees F. A comfortable temperature was maintained in the facility at 72 - 74 degrees F.

LPA observed the facility to be sanitary and furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Fire extinguishers were charged, and smoke detectors and carbon monoxide were operable. A review of Fire Drill was completed on 05/08/23. Several working landline phones were available and operable.

(Evaluation Report continues on LIC 809-C)