Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an announced visit to complete the Pre-licensing inspection for a change of location. LPA met with Administrator Jesiline Samson. The fire clearance was approved on 11/29/2023 for four (4) ambulatory clients.

The facility has four (4) bedrooms, three and half (3.5) bathrooms, one (1) staff office, kitchen, dining room, formal dining room, living room, family room, laundry room, theater room for staff utilization, inside patio, backyard, and attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected:

Client Bedrooms : All bedrooms have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Client Bathrooms : The bathroom appliances were operating in safe and sanitary condition.

Kitchen and Dining Areas : Utensils and dishware are in good repair and ready for client use. Kitchen appliances and counter top were free of debris and in good repair. The water temperature was measured at 113.0 degrees F. There was a locked and secured cabinet where medication and sharps will be stored. There was also non-perishable food inside the pantry and perishable food inside the refrigerator/freezer.

Staff Office: There is a safely locked and secured filing cabinet where clients and staff files are going to be stored.

Common Sitting Areas : There is adequate seating in the common areas. The facility has a supply of activities for the clients.