Facility Evaluation Report

On 11/22/2024 at 10:00am. Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct a Required Annual Inspection. LPA was greeted by the Caregiver/DSP Emerito Paino who granted access to the facility. LPA Khurshudyan reviewed the required postings on a wall next to the kitchen area. The inspection tool was used to complete the visit. The Administrator Leila Villon arrived at approximately 11:00am.

At 10:45am. LPA along with Emerito began a physical plant tour of the facility and the following was observed by the LPA: This is a single-story building with four (04) bedrooms, two (02) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for four (4) clients of which two (2) may be non-ambulatory. Facility is operating level 3 clients.

Kitchen: LPA observed a seven-day supply of non-perishable food and a two-day supply of perishable foods; properly stored and labeled. Facility stores the knives, sharps, first aid kit, emergency supply of food and water, client's medications and facility records in a separate locked cabinets in the kitchen. LPA observed two (2) fire extinguishers one (1) is located by the kitchen and the second is by the entrance door, both fully charged with a serviced date of 09/10/2024. A weekly menu was also available.

Common Areas: These include the living areas and the dining areas . LPA observed dining, living areas clean and clear of clutter with furniture in good repair. Dining and living room furniture sits the capacity of the facility. Walls, floors, windows, screens, ceiling fans, and blinds were clean and in good repair. At 11:45pm. LPA measured the room temperature to be 70 degrees Fahrenheit. There is a linen closet by bedroom #1 contained an adequate supply of fresh linens ready to use.