Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. Upon arrival, LPA observed no one to be present at the facility. LPA called Administrator. AD notified LPA that all clients were at Day Program and staff were out grocery shopping. AD redirected a staff member back to the facility. LPA departed the facility.

LPA returned to the facility and was greeted and granted entry into facility by House Managers Early Maglaya and Matilde Ventura.

The facility is a one-story home with four client bedrooms, two bathrooms, kitchen, dining room, living room, staff room, backyard with pool and attached 2-car garage. LPA noted four out of four clients were away at day program. All client rooms had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens for clients in the hallway closet. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured at 118.3 and 116.4 degrees Fahrenheit in the bathrooms. LPA observed facility has emergency food and water supply. LPA noted Fire Extinguishers were last serviced on 3/22/2024. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets in the kitchen. Knives are locked up separate from toxic chemicals. Medication for each client is kept locked in a cabinet in the kitchen. The backyard has a pool that is six feet deep. The pool is surrounded on three sides by a six-foot tall brick wall. The side of the pool closest to the house is fenced in by a five-foot tall iron fence. The vertical bars on the fence are separated by four inches of space. The bottom of the fence is four inches from the ground. The fence's door is locked and latched. Exit gate is unlocked. LPA observed exit gate to be unobstructed. LPA reviewed two of the four client files and four staff files. LPA also reviewed medication for two out of four clients. LPA reviewed P&I funds for two out of four clients.

Based on today's inspection, no deficiencies are being issued. An exit interview was conducted and a copy of this report was provided to the facility.