Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Dwayne Mason Jr. for the purpose of conducting an Annual Inspection. LPAs met with Staff #1 (S1) Esperanza Ramirez and discussed the purpose of the inspection. Administrator (AD) Marisa Hernandez appeared via telephone.

LPAs reviewed Infection Control requirements. At about 12:30PM, LPAs and S1 conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, and outdoor areas and observed the following: Structure. This is a one-story home. Facility is a 5-bedroom, 3-bathroom, one-story house. There is a back yard with a patio cover for the clients. LPAs observed 1 staff and 2 clients present at the facility. Client Bedrooms. The 4 client bedrooms are spacious and will easily accommodate the clients’ furnishings. Lamps, chairs, linens, and storage for each client bedroom inspected. Staff Bedroom. LPAs observed the staff bedroom to be locked. Bathrooms. Bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 114 and 117.6 F degrees. LPAs inspected all rooms in the facility except for the staff bedroom. Linens & Hygiene Supplies. New linens were observed in client bedrooms. Emergency Phone Numbers, Exit Plan & Menu: Reviewed. Food Service. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher were observed and tested, including the wired smoke detectors/carbon monoxide detectors. Appliances. Stove burners, microwave, washer, and dryer inspected. Knives: observed locked in lockbox separate from toxins. Toxins: observed locked in a lockbox separate from knives. Medication observed locked in a lockbox. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 1:00 PM, LPAs reviewed 3 client files and 3 staff files, interviewed 2 clients and 1 staff, inspected medications for 1 out of 1 clients, and inspected client money and ledgers for 1 out of 1 clients.