Facility Evaluation Report

On Thursday, 1/4/2024, Licensing Program Analyst (LPA) Janette Romero conducted an announced visit to conduct a pre-licensing inspection. LPA met with Applicant, Robert Jazmin.

Fire clearance has been granted for (4) ambulatory clients ages 18 through 59. Applicant Jazmin's administrator certificate expires on 5/28/2024.

LPA conducted of a tour of the facility’s interior and exterior. The facility is made up of four (4) client bedrooms and two (2) client bathrooms along with a kitchen, living/family room, and garage. LPA did not observe bodies of water on the premises. The physical plant is in good repair. Indoor and outdoor passageways are free of obstructions. The facility has an outside shaded seating area available for future clients. LPA observed a charged fire extinguisher, operating smoke alarms, carbon monoxide detectors, and a working land line. LPA observed locked storage areas for cleaning solutions, centrally stored medications, and knives/sharp instruments. Client and staff files are secured in a file cabinet stored near the kitchen.

LPA toured the bedrooms. Client bedrooms had the required bedding, furniture, and functional lighting. LPA observed storage area for additional linen and towels available in the hallway cabinet. LPA toured the kitchen and non-perishable food was stored in a safe and healthful manner. The facility had a 7-day supply of nonperishable food items. LPA observed plenty of storage room in the refrigerator for perishable foods.