Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with House Manager (HM) Paulo Faeldo and explained the purpose of the visit. The facility currently has five residents of which four are away at day program.

The facility is a one story home with four client bedrooms, kitchen, living room, two bathrooms, activities room, backyard and an attached two car garage. LPA observed the activities room to have a wall down the middle of it. After file review LPA observed that the activities room on the facility sketch is just one room with no wall. LPA observed the kitchen to be free of debris and vermin. LPA observed the two day perishable and seven day non-perishable food supply on hand. LPA observed the sharps to be in a locked drawer by the kitchen sink making them inaccessible to residents in care. LPA observed all the appliances to be operational. LPA observed the toxins and chemicals to be stored in the garage in a locked closet, making them inaccessible to residents in care. LPA observed the centrally stored medication to be locked in a closet by the front door, making them inaccessible to residents in care. LPA observed the emergency food and water supply to be located in a closet in the hallway. LPA observed all resident bedrooms had the required components and furnishings. LPA observed the bathrooms to have toilet paper, paper towels, and non-slip flooring in the showers. LPA tested the water between 109.4-109.9 degrees Fahrenheit in both bathrooms. LPA observed the backyard to be free of obstructions. LPA observed a shaded seating area for resident use. LPA tested the fire and carbon monoxide detectors and they were found to be operational. LPA observed a fire extinguisher located in the kitchen to be charged and have a service date of May 15, 2025.