Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1 Year evaluation using the Care Inspection Tool. LPA was greeted and granted entry by Care Staff Hassan Muhidin after explaining the reason for the visit. Administrator (Admin) Naresh Sharma arrived shortly.

The facility is a single story home located in a residential neighborhood. Facility offers at a Service level 4A and is licensed to serve four (4) ambulatory clients. The client census is three and one staff are on duty in addition to the administrator.

LPA conducted the tour of the physical plant accompanied by Admin Sharma. Facility consists of three client bedrooms and one client bathroom. There is one private bedroom and bathroom for the staff. The private bathroom is also utilized by the clients as needed. LPA observed the facility to in good repair, however areas of the facility required deep cleaning such as the kitchen appliances/drawers, bathrooms, and flooring throughout the facility. The common areas were inspected including the detached two car garage which is utilized as storage/laundry room. LPA observed clutter from the ceiling to the ground. The clients' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for personal belongings were observed. Bathrooms were found to be operational, however requires a deep cleaning. The water temperature measured at 108.3 and 108.6 degrees Fahrenheit. The indoor temperature was within a comfortable range. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed adequate supply of two day perishables and seven day non-perishable food. LPA toured the outside grounds. LPA observed the outdoor passageway free of obstruction. The exit gate was operational. LPA observed sufficient seating and shading in the back yard. Facility maintains a fire extinguisher which was purchased on July 18, 2024. The smoke/carbon monoxide detectors were tested and operational.