Facility Evaluation Report

Licensing Program Analysts (LPA) Jerome Haley made an unannounced visit for the purpose of conducting a required one year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Staff contacted Administrator Aliza Festin who arrived a short time later and was present for the remainder of the of the visit.

During the inspection, LPA Haley observed all client bedrooms and bathrooms. All client bedrooms had the necessary elements and were in compliance with regulation guidelines.

Client bathrooms were clean and organized. Hot water temperatures were measured in the range of 105.7 degrees Fahrenheit and 109.0 degrees Fahrenheit. No hazardous items were observed in the client bathrooms, and all grab bars were tightly secured to the wall.

In the kitchen knives and sharp objects are kept locked under the sink. A perishable food supply that meets regulation requirements was observed in the refrigerator. A non-perishable food supply that meets regulation requirements was observed in the cabinets. A new fully charged fire extinguisher was observed in the kitchen on the counter. A first aid kit with all the required elements was observed in a cabinet in the kitchen. There’s a locked file cabinet with client medication, client files, P&I funds, and staff files right next to the kitchen in the dining room area.

The garage is used for storage and walkways were free of obstruction. A locked cabinet with a supply of hazardous cleaning items was observed. Some of the items being stored in the garage during the visit were old client files, old client clothing, new client clothing, and other facility items like bed frames and a wheelchair. Emergency bags for the clients were observed as well.

An emergency food supply, and an emergency supply of water was observed in the staff room.