Facility Evaluation Report

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to complete a comprehensive annual inspection. LPA Nickolas met with Licensee/Administrator Criselda Miguel and explained the purpose of the visit. Today’s inspection included a facility tour, record review, and interviews with staff and residents.

The facility is six (6) bedrooms and four (4) bathrooms of which three (3) bedrooms and two (2) are designated for clients in care. The facility also has kitchen/dining area, living area, sun room, pantry room, and detached garage. Licensed capacity is six (6).

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility temperature is 76 degrees Fahrenheit. LPA inspected resident bedrooms; each room included required furniture such as mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were functional. LPA Nickolas' observed adequate furniture and lighting throughout the facility. The hot water temperature tested within regulation between 109.5 and 111.5 degrees. The facility has operating smoke detectors and carbon monoxide alarms, which LPA Nickolas tested during the visit. The facility has one (1) charged fire extinguishers, that are serviced annually by the state Fire Marshal. LPA Nickolas observed personal rights posters, Licensing documents, and the disaster plan posted throughout the facility. LPA Nickolas observed that cleaning supplies, toxins, sharps, and other dangerous items are kept secure and inaccessible to residents in care. There was a designated storage space for client/staff files. LPA Nickolas observed medications locked and inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.

Food Service: Non-perishable and perishable food supply is sufficient in number for residents in care. The facility has a variety of food available for clients. Dishes, cups, and utensils were also appropriately stored.

Care & Supervision : The facility staff is sufficient in number for the care and supervision of residents in care. All staff members and volunteers working in the facility have criminal record clearance through the department.