Facility Evaluation Report

Licensing Program Analysts (LPAs) Michael Tea and Rose Ruppert with Licensing Program Manager (LPM) Alisa Ortiz made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs and LPM were greeted and granted entry by Administrator Shahid Chaudhry and Assistant Administrator Zain Mateen Ahmad.

The facility is an Adult Day Health Center in a single story commercial building with an approved fire clearance of thirty ambulatory . The facility currently has no clients in care with two staff on duty. LPAs and LPM informed administrator to post the PUB 475 “See Something Say Something” poster at entryway prior to accepting clients.

During today’s visit, LPAs and LPM toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in one bathroom . The hot water temperature measured 108.6 degrees Fahrenheit and the smoke detector was operational. LPAs and LPM noted the bathroom toilet was in working order. The facility’s last fire drill was conducted on August 20, 2023.. Fire extinguishers were charged and serviced.

Facility had back-up emergency water supply located in employee kitchen. There are no cleaning supplies on-site.

LPA reviewed two of two staff training and fingerprint records. LPA interviewed staff regarding activities intended to be provided, program plan, outings and transportation.