Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 . During today’s visit, LPA met with Himal Thebe, Administrator and Maxine Kniazeff, Assistant Administrator.

The facility is a level 4 i single story home with an approved fire clearance of six ambulatory clients with special conditions to have the door to the garage on self-closure and latch at all times. The facility currently has a census of six clients in care. At 8am LPA observed a client leaving with the job coach and three other clients were awaiting transport to their Day Programs.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two client bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 118.6 to 120.0 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational . The fire extinguisher is charged and was serviced on October 23, 2024. The facility’s last fire drill was conducted on June 5, 2025 .

LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Knives/sharps were locked in drawers and chemicals/cleaning supplies were locked and stored beneath kitchen sink. Appliances such as the stove/oven, microwave and washer and dryer were operational. LPA observed medication storage was in the kitchen and LPA reviewed the centrally stored medications. Per review medications are being given as prescribed. LPA observed the First Aid Kit which had the required elements and a First Aid Manual.