Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Eboni Bentley for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Staff #1 (S1) Muriel Lapined and discussed the purpose of the inspection. Administrator (AD) Carol Odulio was not present during the inspection.

LPAs reviewed Infection Control requirements. At about 8:00AM, LPAs and S1 conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, and garage and observed the following: Structure: facility is a 7-bedroom, 7-bathroom, one-story house with an attached garage that is used for storage. One bedroom and one bathroom are being used for staff. There is a back yard with seating and an umbrella covering for the clients. LPAs observed 2 staff and 6 client present at the facility and spoke to Administrator by phone. Client Bedrooms: the 6 client bedrooms are spacious and will easily accommodate the clients’ furnishings. Furniture for each client bedroom inspected. Staff Bedroom: LPAs inspected the one staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 119 and 120 degrees F in the 6 client bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. 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: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the laundry room. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 9:00AM, LPAs reviewed 6 client files and 4 staff files, interviewed 2 clients and 1 staff, inspected medications for 6 clients, and inspected client money and ledgers for 6 clients.