Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Martha Arroyo conducted an unannounced required annual. Upon arrival LPAs met with Program Supervisor Mayda Soto and explained the reason for the visit. Shortly after Program Director Cynthia Fernandez joined the visit. At the time of the visit all participants except one left to outings in the community.

At 10:40 am LPAs and Program Supervisor toured the physical plant areas inside and outside ensuring that there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations.

The facility has two (2) kitchens for participant and staff used. LPAs observed the first kitchen by the entrance. LPA’s observed a kitchen sink, kitchen cabinet and a refrigerator. At 10:47 am the hot water temperature was measured at 112.6 degrees Fahrenheit. Refrigerator contains participant’s lunch, snacks, and drinks. Participants will provide own lunch. There is a storage/pantry room that is permanently locked and inaccessible to participants unless there is a staff member with them. Inside storage/pantry room LPA’s observed paper plates, and adequate supplies of Personal Protection Equipment (PPE), emergency food, emergency water, sharp objects, cleaning supplies, blankets, flashlights, emergency backpacks and extra first aid kits. LPA’s observed a second kitchen. The hot water temperature was measured at 111.7 degrees Fahrenheit. At 11:05 am, LPA’s observed a roof access ladder accessible to participants. LPAs also observed missing and water damaged ceiling tiles in kitchen #1, kitchen #2 and electrical room during the inspection.