Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrators (AD) Divina Alipio and Neome Golfo and discussed the purpose of the visit.

The facility is a one story home with four client bedrooms, two bathrooms, kitchen, living room, office and attached two car garage. The facility appears clean, safe and sanitary. LPA observed three out of the four clients to be out at day program. LPA observed all departmental postings on the living room wall. All client bedrooms had the required components and furnishings. LPA observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day nonperishable food supply on hand. LPA observed a fire extinguisher in the kitchen charged and with a service date of July 9, 2025. LPA observed toxins and chemicals to be stored under the locked kitchen sink. LPA observed the knives to be in a locked drawer by the stove. LPA observed the centrally stored medication to be in the living room in a locked cabinet and made inaccessible to clients in care. LPA observed the client restrooms to be stocked with toilet paper, paper towels and non slip mats in the shower. LPA tested the water to be between 108.3 and 111.2 degrees Fahrenheit in the client restrooms. LPA observed a clean supply of linens in the hallway cabinet for client use. LPA observed the garage to be locked and made inaccessible to clients in care. LPA observed the emergency food and water supply stored in the garage. LPA observed the backyard to be free of debris and obstructions. LPA observed a shaded seating area for client use. LPA and AD tested the carbon monoxide and smoke detectors and they were found to be operational.