Facility Evaluation Report

On 4/30/2024, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by Staff and granted entry after stating the purpose of the visit. Assistant Administrator Wyleen Rivera was present and assisted with the facility inspection on today's date. Administrator Maria Rivera arrived during visit and joined in inspection visit.

The facility is licensed for four (4) ambulatory clients. Facility is a single story with a two-car garage home. The facility has four bedrooms (three client rooms & one staff room) and two full bathrooms.

At around 11:45, LPA conducted a tour of the physical plant accompanied by Assistant Administrator Wyleen Rivera, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 114.6 degrees F. A comfortable temperature of 78 degrees F. was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has one fire extinguisher that was mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance.

During the visit, LPA observed sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE).