Facility Evaluation Report

On 12/27/23, Licensing Program Analysts (LPAs) Melody Brown and Bianca Wolcott conducted an unannounced visit to the facility for the purpose of completing a Case Management Visit. LPAs Brown & Wolcott was greeted and granted entrance by a staff. LPA Brown & Wolcott met with Administrator Neil Consuleo and explained the purpose of today's visit. Administrator Consuelo accompanied LPAs Brown and Wolcott on a tour of the inside and outside of the facility.

One (1) client in care was present during visit. Other clients are out in the community. Client appeared to be safe with no imminent health/safety concerns observed. During the tour of the facility. LPAs Brown & Wolcott observed additional room on the second floor of the facility. Alteration was made to add additional room in the master's bedroom. Per documents review, LPAs Brown and Wolcott observed no permits submitted to Community Care Licensing Division (CCLD) and corresponding city government agency. Deficiency will be issued. Moreover, LPAs Brown and Wolcott measured the facility's hot water and LPAs Brown and Wolcott observed the water to be 151 degrees Fahrenheit. Deficiency will be issued. LPAs Brown and Wolcott inspected the facility's food supplies and observed two (2) day(s) supply of perishable and seven (7) day(s) supply of non-perishable food. LPAs Brown & Wolcott observed proper signages throughout the facility, sufficient hand hygiene supplies, cleaning supplies, and a sufficient inaccessible to clients in care.

An exit interview was conducted where this report (LIC 809), LIC809D and Appeal Rights were discussed and provided to Administrator Neil Consuelo.