Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, James Olalia, and explained the reason for the visit. The administrator, Michael Custodio, could not attend the inspection at this time.

At approximately 8:15am, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected. There are two (2) carbon monoxide detectors, one in the living room and one in the hallway, by resident rooms, that functions properly. The fire extinguisher is located in the kitchen.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored and were inaccessible during the inspection. The laundry area is located by the kitchen. No detergents or toxins were observed accessible. LPA also did not observe any cleaning supplies accessible in the kitchen.

Bedrooms: There are four (4) bedrooms designated for residents' use. Room 1 and Room 3 are shared, while room 2 and 4 are private. Room 1 is approved for bedridden. LPA observed resident bedrooms to be properly furnished with appropriate beddings and linens with sufficient lighting and closet space.

Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures, grab bars and non-skid mats. Hot water temperature was measured between 118 to 119 degrees Fahrenheit. LPA did not observe any cleaning supplies in either bathrooms during the day's inspection.