Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Dwayne Mason Jr. for the purpose of conducting an Annual Inspection. LPAs met with Administrator (AD) Anna Mallari and Staff #1 (S1) Richard Michael Sayat and discussed the purpose of the inspection.

LPAs reviewed Infection Control requirements. At about 8:45AM, LPAs and AD conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, and garage and observed the following: Structure. This is a one-story home. Facility is a 5-bedroom, 2-bathroom, one-story house with an attached garage that is being used for storage. There is a back yard with a patio cover for the clients. LPAs observed 4 staff and 3 clients present at the facility. Client Bedrooms. The 4 client bedrooms are spacious and will easily accommodate the clients’ furnishings. Lamps, chairs, linens, and storage for each client bedroom inspected. Staff Bedrooms. LPAs inspected the 1 staff bedroom. Bathrooms. Bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 105 and 106.3 F degrees. LPAs inspected all rooms in the facility. 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 were observed and tested, including the wired smoke detectors/carbon monoxide detectors. Appliances. Stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen cabinet. Toxins: observed locked in the garage. Medication room is locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid.

At about 9:15AM, LPAs reviewed 4 client files and 5 staff files, interviewed 3 clients and 4 staff, inspected medications for 4 clients, and inspected client money and ledgers for 4 clients.