Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:34AM. LPA met with staff, Director of Operations Hayle Jimenez and Clinical Supervisor Shalmar Neal who arrived shortly thereafter. Entrance interview conducted.

Beginning at 10:35AM, LPA, along with Director of Operations, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The following was observed:

KITCHEN/GARAGE: LPA toured the facility kitchen at 10:35AM. Knives are stored inaccessible in the staff office along with medication. Cleaning supplies are stored inaccessible and away from all food preparation areas. Kitchen appliances were in operable condition. Management indicated lunch and dinners are catered from a third party company and clients can prepare their own meals with staff supervision. The facility has a sufficient supply of perishable and non-perishable food. LPA observed the attached garage, which was locked and contained extra food, emergency water, and storage.

BEDROOMS : There are four (4) client rooms: two (2) shared and two (2) private. All 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.

RESTROOMS: There are six (6) total bathrooms in the facility; one (1) office bathroom, four (4) private client bathrooms, and one (1) shared common bathroom. At 10:43AM, LPA observed the toilet in client restroom in bedroom #2 to be in unsanitary condition. Staff stated that client refuses cleaning. LPA observed the other client restrooms in sanitary condition. Hot water temperatures were measured and were between 112.2-113.9 degrees Fahrenheit, which is within the required range. Report Continued on LIC 809-C.