Facility Evaluation Report

Licensing Program Analyst (LPA) Angel Ascencio conducted a pre-licensing visit to the above noted facility. The LPA met with applicants, Jessica Breton, Susan Warren and Paul Figueroa. This is a new facility . The facility is two-story home. At 10:05 a.m., a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for six (6) ambulatory clients only.

The facility has three (3) bedrooms, all of which are shared. No client rooms have direct exits to the outside. All client rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are no staff rooms – ‘awake night staff only’. All rooms were free of odors. All window screens were clean and maintained in good repair.

There is one (1) bathroom in the hallway for client use. One (1) is designated as a staff bathroom. Room # 1 has a shared bathroom. The client and hallway bathrooms have a shower with non-skid materials. The toilet and showers have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. Client and staff records will be stored in a locked filling cabinet, which is currently located in Nurse's Station. Medications will be centrally stored in a locked cabinet in the Nurse's Station. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. They were stored in the medication room.