Facility Evaluation Report

Licensing Program Analysts (LPA) Jerome Haley conducted 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 Anil Suresh who arrived a short time later and was present for the remainder of the of the visit.

During the inspection, LPA Haley observed a locked closet next to the front door. In the locked closet is where the client and staff files are kept as well as clients P&I funds, and client medications. All client bedrooms had the necessary elements and were in compliance with regulation guidelines. One client bedroom is vacant and being used to store clothing items for one of the clients and old facility records. One room was reserved for staff and inside LPA Haley observed extra cleaning supplies, and an emergency food supply. Client bathrooms were clean and organized. Hot water temperatures were measured in the range of 109.5 degrees Fahrenheit and 108.6 degrees Fahrenheit. No hazardous items were observed in the client bathrooms.

In the kitchen knives and sharp objects are kept locked in a drawer near the dishwasher. Hazardous cleaning materials 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. There’s a washer and dryer on the side of the kitchen with a locked cabinet above the washer and dryer.

In the garage an emergency supply of water was observed. There was a large supply of diapers as well as an emergency supply of PPE items that included face shields, gowns, gloves, and N95 mask. The facility vehicle was also parked inside the garage.