Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Marites Chiapoco.

According to the facility’s license, the facility has a maximum capacity of six (6) clients, of whom all may be ambulatory or non-ambulatory, but none may be bedridden. During today's visit there were six (6) clients in care and all were non-ambulatory. LPA reviewed all available client records. LPA reviewed administrative and training records for all active staff. The clients who were present did not have the verbal skills to be qualified as reliable historians/interviewees. However, LPA found all clients he encountered were safe, calm, alert, and cleanly dressed and cleanly groomed. LPA also interviewed multiple staff who were present.

The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens, hygiene, and Personal Protective Equipment 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 72 F. Hot water temperature at taps normally accessible to clients were compliant in temperature: Kitchen Sink was 109.4 F, Bathroom #1 Sink was 111.6 F, and Bathroom #2 Sink was 106.9 F. Refrigerators and freezers used to preserve perishable food were complaint in temperature.