Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review. LPA was greeted by Administrator, Jaqueline Sanchez and explained the purpose of the visit. A tour of the facility was conducted inside and out. At the time of visit, all three clients were home and one additional staff was available. The facility is licensed for four (4) ambulatory clients ages 18 through 59 with Developmental Disabilities.

The facility is a four (4) bedroom two (2) bathroom two story home. Two (2) bedrooms are private and one (1) bedroom is shared.

During the tour the following was observed: Clients bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible to clients. Hot water was tested at 114 degrees Fahrenheit. Backyard area is free from obstructions.

Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional.

Care & Supervision : Facility has sufficient care staff employed.