Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct an annual inspection. LPA met with Sachin Mathur, Administrator and discussed the purpose of the visit.

The facility is an Adult Residential Facility (ARF) with a capacity of (4) and a census of (4). The facility is a 4 bedroom, 2 bathroom home with a kitchen/dining area, living room, family room and attached garage. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

LPA inspected the facility inside and out. Indoor and outdoor passageways were kept free of obstruction. The facility has no bodies of water and backyard is fenced with a self latching gate. Facility telephone service is working properly. The facility has sufficient furniture and lighting and is maintained at a comfortable temperature of 75 degrees F.

LPA inspected the kitchen. The hot water temperature tested within regulation at 105 degrees F. Facility has sufficient supply of nonperishable and perishable food. Facility has a variety of food available and a menu posted in the kitchen. Facility food is stored in a safe and healthful manner. Sharps are stored and kept locked in kitchen cabinet and inaccessible to clients in care.

LPA inspected client bedrooms. Bedrooms are equipped with mattresses, nightstands, chairs, storage space, linen and sufficient lighting. All bedroom furniture is in good repair.