Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA was granted entry into the facility and discussed the purpose of the visit with Staff, Jasmine Zentino and David Cage. The facility is an Adult Residential facility with a license capacity of (4) and a current census (4). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility's outdoor activity space is shaded and enclosed with a self-latching gate. The facility is equipped with smoke/carbon monoxide alarms, fully charged fire extinguisher, laundry equipment and telephone service. Client bedrooms inspected were equipped with beds, chairs, dressers and operating lights. Client bathrooms were operating in safe and sanitary conditions. The hot water in client bathrooms tested at 106 and 110 degrees F. The facility has infection control plan and client registry for review. The facility has posted: facility license, emergency numbers, staff schedule, client activities and Community Care Licensing complaint poster. LPA observed cleaning supplies stored in the laundry area were kept unlocked and accessible to clients in care. Staff locked the cleaning supplies during LPA's visit. LPA observed no emergency night lights in the hallway leading to client's nonprivate central bathroom.

Food Service: The facility’s dining area and kitchen were maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care.

Health Related Services: The facility maintains records of client medications and medications are centrally stored in a locked cabinet. The facility maintains emergency supplies, a first aid kit and manual.

Personnel/Client Records: LPA requested to view staff files for trainings, employee qualifications, and health screening. Staff present did not have access to staff files for LPA to review. LPA requested to view all four (4) clients personal/incidentals (P&I) funds. Staff present did not have access/a key to client P&I funds. The Administrator was not available at the facility to provide LPA access to inspect client P&I funds.