Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Aziz Faizi conducted an unannounced annual required visit. LPs was granted entry and met with Staff, Khumbuzile Dlamini who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (2) clients present.

The facility is a one story home with (4) resident bedrooms and (2) bathrooms. No pools or firearms are housed at the facility. The facility is approved for (6) ambulatory clients.

Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area and passage ways were observed to be free of hazards. LPAs observed hygiene supplies for residents, PPE, clean linens. There are designated locked areas for cleaning supplies, and medications. LPAs observed unlocked pizza cutter and lighter accessible and unlocked during the time of the visit. A technical note was documented and staff secured the items during the visit. The smoke detector and carbon monoxide are operational. The hot water temperature read 125F, LPAs allowed the staff to adjust the hot water however the temperature change was not reflected during the time of the visit. There a technical note was documented and the staff agreed to send the temperature reading by the end of the business day. There are emergency supplies such as emergency lighting, complete first aide kit and emergency food and water. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.