Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by staff. Staff contacted Administrator Marisa Hernandez and explained the reason for the visit. Administrator gave Caregiver (CG) Andrew Nudo permission to assist LPA with the inspection and that they will be available by phone. The facility currently has four clients of which all are out in the community.

The facility has four client bedrooms, one staff bedroom, two bathrooms, a kitchen, living room, laundry room, dining area, and detached two car garage. The facility appears clean, safe, and sanitary. The staff bedroom is unlocked with no items accessible to clients such as sharps or medications. The kitchen appears to be clean and sanitary. LPA observed that the facility has a two day perishable and seven day non-perishables food supply. LPA observed the emergency food and water supply located in the kitchen. LPA observed the knives and sharps to be locked in a cabinet next to the kitchen making them inaccessible to clients in care. LPA observed medication to be locked in a cabinet located next to the kitchen making them inaccessible to clients in care. LPA observed that all client bedrooms have the required components and furnishings. LPA observed the client bathrooms to have toilet paper, paper towels, and non-slip mats for the showers. LPA tested the water to be at 105 and 105.6 degrees Fahrenheit in the client bathrooms. LPA observed two fire extinguishers charged with a service date of March 2026. LPA observed the backyard to have a covered shaded seating area for client use and is free of obstructions. LPA observed toxins and chemicals to be stored in a locked cabinet in the backyard making them inaccessible to clients in care. CG and LPA tested fire and carbon monoxide detectors and they were found to be operational.