Facility Evaluation Report

Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit for the purpose of an annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator John Dofredo was notified by telephone and arrived later to assist with the visit.

The facility is an Adult Residential Facility licensed for four ambulatory clients. There are currently four clients in care, only one of which is present during the visit. Other clients are at school, day program or visiting relatives in the community. The facility is a one-story home with four bedrooms, two bathrooms in addition to common areas and a kitchen. Facility appears clean, safe, and sanitary. All clients’ rooms had required elements, including bed, chair, closet space, and ample lighting. Facility had extra linens and hygiene supplies for all four clients. Hot water measured at 114 degrees Fahrenheit in one bathroom, 113F in the shared bathroom and 116.5F in the kitchen. 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 hallways and walkways were free of obstruction. There are no bodies of water on the premises

LPA observed the fire extinguisher mounted on the living room wall is charged. Staff and LPA 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 cabinet in the dining room. The backyard has one shaded seating area, and the exit gate is unlocked and unobstructed. LPA reviewed all four clients’ files and medications as well as P&I records which were verified to correspond to the amount noted on the ledgers for the clients whose funds are managed by the facility. LPA reviewed six staff files. All files of staff and clients contained all required documentation. All current staff members are cleared and associated.