Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by DSP staff, Relea De Castro. Administrator (AD) Maxine Kniazeff and Assistant Administrator (AA) Shirley Kniazeff arrived shortly afterwards to assist with today’s visit. The facility is licensed for 6 ambulatory clients. Currently there are 4 clients living here during today's visit.

At 1:50 PM, LPA Tea reviewed four client files and two staff files. Client files and staff files contained all required documentation. The administrator certificate expires on July 28, 2026, but administrator has yet to physically receive her new certificate due to the department back log in processing administrator certificates.

LPA Tea along with lead staff Adelardo Abad toured the facility at 2:55 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one-story home with six client bedrooms and two bathrooms. The facility has a kitchen, dining room, living room and a garage. There is also a room to administer and store medication and first aid supplies, and emergency supplies, food and water are stored there as well. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured between 110.6 F degrees and 111.5 F degrees. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen cabinet. LPA also observed toxin substances to be secured and locked and inaccessible to clients underneath the sink and in a storage closet by the laundry area.