Facility Evaluation Report

On 5/19/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct a required Annual Inspection. Upon arrival LPA was greeted by the Caregiver/DSP Dixon Mile, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. LPA Khurshudyan reviewed the required postings on a wall throughout the facility. The facility Administrator Michael Junaid helped with the physical plant tour, staff and client files, and medications. The inspection tool was used to complete today's visit.

At 11:15am. LPA began a physical plant tour of the facility and the following was observed: This is a single-story building with four (4) bedrooms, three (3) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for four (4) clients. Facility is operating level 4 clients.

Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. Facility stores knives and sharps next to the gas stove, inside the kitchen cabinet that is always locked and under supervision. Emergency supply of food / water was stored inside the pantry located in the garage. LPA observed fully charged three (3) fire extinguishers located one in the kitchen, one in the hallway, and the last one in the garage, with a service date 3/10/2025. A weekly menu was also available on the refrigerator.

Common Areas: These include living and dining areas . LPA observed dining, living areas clean and clear of clutter. Furniture is generally new and in a good repair. Dining and living room furniture sits the capacity of the facility. Walls, floors, windows, screens, and blinds were clean and in good repair. At 11:20am. LPA measured the room temperature to be 74 degrees Fahrenheit. There is a linen closet in the hallway with an adequate supply of fresh linens ready to use. No obstructions and or tripping hazards throughout the facility. Facility has landline, LPA checked it was operational. Continue on LIC809-C