Facility Evaluation Report

Licensing Program Analysts (LPA) Samer Haddadin conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was greeted and granted entry into the facility by Administrator (AD) Gilbert Singh and discussed the purpose of the inspection.

LPA reviewed Two clients’ files and two staff files. Client files and staff files contained all required documentation. Administrator certificate expires on March 25th, 2025.

LPA along with AD toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. This is a two-story house with four client bedrooms, two staff bedrooms and three total bathrooms. At the time of the visit, one client was observed at the facility and three were in day program.The facility has a kitchen, dining room, and living room with an attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms; all were tested and 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 in first restroom at 105.6 and 106.8 F degrees in the second restroom. Bath towels, and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards and doorways were free of obstructions.

First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected and appliances were operational. LPA observed the facility had a two-day supply of perishables and a seven-day supply of non-perishable food was available as required by regulations. LPA observed sharps and knives locked in a kitchen cabinet. LPA also observed toxin substances secured and locked and were inaccessible to clients in a storage closet in the garage.