Facility Evaluation Report

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, and discussed the purpose of the visit with Senior Director Joanne Garcia.

According to the facility’s license, they are approved for first floor only. Approved for ninety (90) ambulatory clients of which twelve (12) may be non-ambulatory. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by the Senior Director, toured the interior and exterior of the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows, sinks, and toilets were in working order. Hand hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature and the hot water temperature were at compliant readings. LPA inspected the medication cabinet where medications are locked and secured.

No pools or bodies of water on the premises. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients.