Facility Evaluation Report

On 12/8/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene was greeted and granted entry by Assistant Case Manager, Jennifer Payton who was informed of the purpose of visit. LPA also met with Program Director, Pedro Zambrano. LPA toured the facility inside and out with Jennifer Payton.

Physical Plant: front entrance, interior and surrounding exterior were in good repair with no pathway obstruction. The facility was clean and odor free during the visit. The facility's temperature read at 73 degrees; clients’ main restroom water temperature measured at 105 degrees. All cleaning solutions were locked in a secured area. Random smoke and carbon monoxide detectors were inspected and found to be in working order. LPA inspected the Fire Extinguishers, and they were found to be in compliance. There were no bodies of water observed on the premise. Staff present have a criminal record clearance in file and are associated to the facility. All required postings were posted in the lounge room. Last fire drilled was conducted on 11/13/2023. Random clients, facility and staff's records were reviewed and found to be complete. The facility does not have firearm and/or ammunition on grounds. There are no medication being administered to client in care. Three #3 staff and #3 clients were interviewed.

Based on today's visit, there were no deficiencies observed at this time. An exit interview was conducted, and a copy of this report was reviewed and provided to Pedro Zambrano.