Facility Evaluation Report

Licensing Program Analysts (LPA) Kelly Dulek and Valeria Conway arrived at the facility unannounced for a required one year visit. The LPA met with Director of Operations Hayle Jimenez and explained the reason for the visit she asked to wait for Compliance Director Robert Young to start the annual. Compliance Director Robert Young arrived at 10:23 a.m. At 10:43 a.m. the LPA toured the physical plant to ensure there were no health and safety hazards.

KITCHEN : Knives were kept inaccessible to clients in care locked in the Operation's office along with medicine. Appliances appeared to be in operable condition. The facility had a sufficient supply of perishable and non-perishable food with proper expiration dates. Kitchen appliances were in operable condition and looked clean/in good repair. The kitchen was clean and sanitary, with covered trash cans. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. At 03:20 p.m., water temperature was measured in the kitchen sink and measured at 76.8 degrees Fahrenheit (F).

BEDROOMS : All six (6) Bedrooms were furnished appropriately; beds were observed with clean linens and rooms had sufficient lighting. All direct exits were clear, and no obstructions were noted. LPA noted that in male bedroom #2 there were three (3) beds for clients.

RESTROOMS : Some restrooms were clean and sanitary with grab bars and non-skid surfaces. At 10:50 a.m., water temperature in client bathroom #3 on the 2 nd floor measured at 93.5 degrees F. At 11:02 a.m. in client restroom on the 2 nd floor measured at 98.0 degrees F. At 11:15 a.m. in client restroom #1 on the 1 st floor measured 88.0 degrees F. Client shower door #3 on the 2 nd floor had hard water stains and shower floors had grime build up and mold/mildew in the grout. Restrooms were stocked with appropriate hygiene and paper products.