Facility Evaluation Report

Licensing Program Analysts (LPAs) Ruth Martinez and Jenifer Tirre are conducting this unannounced visit for the purpose of completing an annual required inspection. LPAs arrived at the facility were greeted and granted entry by the caregiver and LPA Martinez explained the nature of the visit. LPAs met with Maxine Kniazeff, Assistant Administrator shortly after.

Six clients reside at this facility, there was three clients present at the facility at the time of visit. LPAs were informed that three clients were out in the community. Upon entry LPAs observed three clients and five staff throughout the facility. LPAs accompanied by caregivers began the tour of the inside and outside of the facility. LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. The facility is maintained at a comfortable temperature. LPA Tirre inspected that medication are centrally stored in a safe locked storage cabinet located the office space. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPAs inspected the bathroom and LPA measured the hot water temperature which measured 119.8 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in the garage. The facility has an available clean supply of linens. LPA inspected client’s bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment. LPA observed a fire extinguisher with service date of July 26, 2023, in kitchen. Fire drills are conducted monthly, and LPA Martinez verified last Fire Drill was conducted on January 05, 2024. LPAs