Facility Evaluation Report

On 09/13/2024 at 12:00 PM, Licensing Program Analysts (LPAs) Magda Malcore and Eldin Serrano conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPAs Malcore and Serrano were greeted by Program Director Valerie Daniels and gained access at the home. LPAs Malcore and Serrano explained the purpose of the visit to Program Director Daniels .

The facility has five (5) bedrooms, three (3) bathrooms, kitchen, dining rooms, living rooms, and courtyard. The facility are licensed for 10 of which can be non-ambulatory. LPAs Malcore and Serrano completed a walkthrough of the facility, review of records, Personal and Incidental (P&I) and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPAs Malcore and Serrano observed five (5) clients during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPAs Malcore and Serrano inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPAs Malcore and Serrano inspected client bathrooms; bathrooms were clean, and appliances were found functional. LPAs observed that the water temperature in bathroom near bedroom 5 is 149 degress fahrenheit, the bathroom near bedroom 3 is 127 degrees fahrenheit and the bathroom near bedroom 2 is 141 degress fahrenheit. Deficiency will be issued. The facility is equipped with operational combined smoke detectors and carbon monoxide detectors, charged fire extinguishers, and first aid kit with first aid book.

Posters such as the personal rights, CCLD complaint poster, and emergency disaster plan were posted in a common area. Client medications were kept in secure cabinets inaccessible to clients. LPAs Malcore and Serrano observed night lights at the hallway leading to clients' shared bathrooms. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.