Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to continue a Required Annual Inspection which began on 07-19-2024. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Lydia Abille.

According to the facility’s license, the facility has a maximum capacity of six (6) clients, of whom all must be ambulatory. Per review of LIC602 Physician’s Reports, staff interviews, and LPA observation: During this inspection, there were a total of six (6) clients in care, and all were ambulatory. The facility’s license does not include endorsements for secured perimeter or delayed egress doors, and neither were present during today’s visit.

LPA, accompanied by Licensee’s staff, toured the interior and exterior of the facility and inspected each room. The facility was reasonably clean/sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilet, and shower were working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.

The facility’s ambient internal temperature was complaint at 74 F. Hot water temperature at a tap accessible to clients was initially non-compliant: Bathroom #1 Sink was 138.7 F, when regulation specified that the maximum allowed was 120 F. [During LPA’s visit, adjustments were made to the facility’s water heater, such that hot water temperature at Bathroom #1 Sink was brought down to 107.1 F.] Appliances to preserve perishable food were compliant in temperature: Kitchen Refrigerator was 39 F and Kitchen Freezer was 0 F. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present.