Facility Evaluation Report

Licensing Program Analysts (LPAs) Hanna Gough and Nancy Guillen conducted an unannounced required annual visit. LPAs were greeted by staff and granted entry after stating the purpose of the visit. Administrator (AD) Winnie Greco accompanied LPAs during the duration of the visit.

The facility is licensed for six clients, two non-ambulatory and four ambulatory. The facility currently has two clients in care.

LPAs observed that the facility is a single-story home with a two-car garage. The facility has four bedrooms, one client bathroom, three client rooms, and one live in staff bedroom with an attached bathroom. LPAs observed that the bedroom that was used for staff and was separated with permanent walls making it into two bedrooms.

LPAs conducted a tour of the facility with the administrator, and the following was observed: All rooms were inspected. LPAs observed that all bedrooms had the required components and furnishings. Clean linens were stored in a closet in the hallway. Bathrooms were operational with water temperature measuring at 117.1 Degrees Fahrenheit. LPAs toured the kitchen. LPAs observed that the sharps are locked and inaccessible to clients in care. LPAs observed that the medications are locked and stored in a closet in the entry way of the facility and inaccessible to clients in care. LPAs observed that toxic chemicals are stored and locked under the kitchen sink and inaccessible to clients in care. LPAs observed that three of the four kitchen burners are working in working order. A technical violation was given to ensure that the fourth burner gets repaired.

LPAs observed extra activity materials stored in the garage. LPAs observed a two day perishable and one week non-perishable food supply was on hand and maintained. LPAs observed the emergency food and water supply located in the garage. CONTINUED ON 809C