Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced required 1-year visit to the facility. LPA met with Vincent Pedroso, Administrator, and discussed the purpose of the visit.

LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

Operation/Physical Plant: The facility is licensed for a capacity of (6) and has a current census of a (4) ambulatory clients. The facility’s indoor and outdoor passageways were kept free of obstruction. Facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor activity space for clients in care. The facility’s outdoor activity area is fenced with a self-latching gate. The facility is equipped with operating carbon monoxide/smoke alarms, fire extinguishers, signal system, covered fireplace and telephone service. Client bedrooms were equipped with beds, bed linen, chairs, storage space and lighting. Client bathroom equipment was fully operational; however, the hot water in client's upstairs bathroom tested at 95 degrees F. A deficiency cited. The facility has 24 hour/7 days a week care staff. The facility has posted in a common area: Community Care poster, facility license, and emergency telephone numbers.

Food Service: The kitchen and dining areas were maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility’s freezer and refrigerator has sufficient space and fully operational. Sharps, disinfectants and cleaning solutions were kept locked and store away from food areas.