Facility Evaluation Report

On 10/09/2024, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Assistant Administrator Lorna Cruz was present to assist with the facility inspection on today's date.

Facility is licensed as a Adult Residential Facility capacity 4 with approved Non Ambulatory for 2 clients. Currently, there are three clients (3) present during today’s visit. Facility is a Level 4I home.

This is a single story with a two-car garage facility. The facility has five bedrooms ( 4 client bedrooms, 1 staff room), 1 office room and two full bathrooms.

At around 7:21AM, LPA conducted a tour of the physical plant accompanied by caregiver and Assistant Administrator, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 111.9 degrees F. A comfortable temperature of 72 degrees F. was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. LPA observed storage areas for personal hygiene. LPA observed sharps objects were locked and not accessible to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has a emergency food and water supply. LPA observed two fire extinguishers were charged and mounted. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance.