Facility Evaluation Report

Licensing Program Analyst (LPA) Ferrer Sabarias conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA met with Program Manager Jennifer Herrera.

LPA toured the facility inside and out. The facility has no bodies of water. The facility has designated areas for activities such as relaxation and arts & crafts. The facility has four charged fire extinguishers last maintenance date 1/25/24. Carbon monoxide and smoke detectors were inspected and found to be in working order . Disinfectants, sharps, cleaning solutions, and poisons were locked and kept inaccessible to the clients. The facility was equipped with a complete first aid kit including a manual. The last disaster drill conducted was on 12/04/2024. LPA measured the water at 114.6 degrees F.

LPA reviewed staff and client files. Staff files had appropriate documentation including current first aid/CPR certification and health screening reports. Client files had appropriate documentation including an admission's agreement and an updated needs & services plan. The facility does not dispense medications or handle P&I funds.

No deficiencies were cited during the visit. An exit interview was conducted where this report was discussed and provided to Program Manager Jennifer Herrera.