Facility Evaluation Report

Licensing Program Analysts (LPA) Helena Rummonds and Jacky Macias arrived unannounced to conduct an Annual Required Inspection at approximately 915AM and was greeted by Program Director, Jennifer Harter. LPAs and Program Director discussed the purpose of the visit. Administrator, Chas Abate arrived shortly after.

LPAs and Program Director initiated a tour of the facility at approximately 9:30AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in sinks accessible to clients measured at 135 and 138 degrees F which were not within the range of 105-120 degrees F allowed per regulation. Staff immediately turned the temperature down and LPA retested the water temperature and measured to 106.5 degrees F.

Extra Personal Protective Equipment is available. Cleaning supplies were located in hallway closet and locked. Facility has a large outdoor area free from hazards with a shaded area and a client garden. Facility does not handle medications or client cash resources. Clients were observed engaged in multiple activities throughout the visit. Facility has a kitchen to provide snacks and occasional lunches to clients, although clients usually bring their own lunches.

5 staff files and 5 client files were reviewed. Staff have required first aid. Clients have updated IPP/ISP (Individual Program Plan/ Individual Service Plan) on file and up to date. Facility is conducting disaster drills per regulation. Fire extinguisher was last serviced 05/24/2023. Smoke and Carbon Monoxide alarms were tested and operational during Inspection.