Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by staff and explained the reason for the visit. Staff contacted Administrator (AD) Susierose Abella, who arrived and was present for the visit.

LPA Haley was pre screened and temperature checked before entering the facility. A screening station was set up near the front door, and all required postings were observed on the walls throughout the facility. AD Abella has a current administrators certificate that expires 8/18/22.

At 2:15 LPA Haley began the tour of the facility. In the locked office right next to the front door, LPA observed staff files, emergency food, emergency water, two emergency kits, and a first aid kit with all required elements. LPA Haley observed plenty of PPE and cleaning supplies in the closet of the locked office.

All client bedrooms were clean, well organized, and had all the necessary requirements: night stand, chair, lamp and storage space. Client bathrooms were clean and organized. Hot water temperature measured at 106.7 degrees Fahrenheit in bathroom #1 and 105.7 degrees Fahrenheit in bathroom #2. LPA Haley observed a wash room equipped with a washing machine and dryer. All hazardous chemicals and cleaning supplies are stored in the locked cabinets in the wash room.

The back yard was clean and free of clutter. A covered area with a table and chairs was observed. There was a locked storage cabinet that stored cleaning and gardening tools. The garage was well organized, free of clutter and walkways were free of obstruction. In the garage LPA Haley observed extra linens and clothing for the clients. In the garage an additional refrigerator was observed with plenty of fresh food items.