Facility Evaluation Report

Licensing Program Analysts (LPAs) Dang Nguyen and Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit director Ray Pallasigue.

According to the facility’s license, the facility has a maximum capacity of seventy-five (75) clients, of which all seventy-five (75) may be non-ambulatory During today’s inspection, there were a total of thirty-seven (37) clients in care. This facility does not feature a secured perimeter or delayed egress doors. Required licensing postings were observed in visible areas of the facility.

LPAs, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks and toilets were in working order. Personal Protective Equipment (PPE) was present. The facility had sufficient space and equipment to facilitate activities. The facility’s ambient internal temperature was comfortable and complaint, at 69 F.

LPAs observed via measurement with a thermometer device that hot water temperature at taps accessible to clients were compliant: Kitchen was 111 F, Bathroom #1 was 110 and 111 F, and Bathroom #2 was 111 F and 110 F. Bathroom #3 was 110 F, classroom #1 sinks were 111F, 111 F and 111 F.

Medications were labeled, as required, and stored in locked areas. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility.