Facility Evaluation Report

Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Brandon Lopez conducted an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPAs were greeted and granted entry by facility caregiving staff after introducing themselves and stating the purpose of the visit. Administrator Lori Cook was notified by telephone and was unable to attend to the visit as she was attending a medical appointment with a client from another licensed location.

The facility is an Adult Residential Facility licensed for six ambulatory clients. There are currently three clients in care, only one of which is present during the visit. Both other clients are at day program during the present visit. The facility is a one-story home with three shared bedrooms assigned to clients, one of which is currently vacant. Clients shared one common bathroom. There is an additional staff room along with a bathroom used by live-in staff members. Facility's interior appears clean, safe, and sanitary. All clients’ rooms had required elements, including bed, chair, closet space, and ample lighting. Facility has extra linens and hygiene supplies for all three clients. Hot water measured at the most at 103 degrees Fahrenheit in the bathroom used by clients, type B citation issued. LPAs 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. LPAs observed hallways and walkways were free of obstruction. There are no bodies of water on the premises

LPAs observed the fire extinguisher mounted on the living room wall is charged and has a maintenance tag dated 2024. Staff and LPAs tested smoke and carbon monoxide detectors which were found to be operational. Cleaning products and sharp instruments are stored in a locked cabinet in the kitchen. Medication for each client is kept locked and secured in a locked medication cart positioned in the dining room. The backyard has one shaded seating area, and the exit gates are unlocked and unobstructed. LPAs reviewed all three clients’ files and medications as well as P&I records which were verified to correspond to the amount noted on the ledgers. Receipts also match the amounts and dates logged in the ledger. LPAs reviewed two staff files. CONTINUED ON FORM LIC809-C