Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct the required annual licensin g inspection. LPA was met by Administrator Christy Alvarez, identified herself, was granted entry into the facil i t y, an d stated the purpose of today’s visit. There were two (2) clients, and on e (1) staff present during today's visi t . LPA Correia conducted a general overall inspection. The facility is licensed to serve 4 clients, ages 18 to 59, all of whom are ambulatory. LPA, accompanied by Administrator Alvarez, conducted a facility tour. The facility temperature was 75 degrees Fahrenheit at the time of the visit. The hot water temperature, measured at 115.3 degrees Fahrenheit. Disinfectants, cleaning solutions, poisons, and sharp objects were housed in locked cabinets and inaccessible to clients. Client rooms were equipped with the required furnishings. Client bedrooms were observed to be sanitary and equipped with the required supplies. Facility staff provided clients with clean linen in good repair. LPA Correia observed smoke alarms, and carbon monoxide detectors throughout the facility that were in operable condition, and the fire extinguisher was last serviced on January 17, 2025. Per Administrator Alvarez, there are no weapons and/or ammunition housed in the facility, nor does the facility have any bodies of water on the premises.

The facility is stocked with a 2-day supply of perishable and 7-day supply of nonperishable food items. The food was observed properly stored. Medications are stored in a locked cabinet and administered according to the label instructions. The facility does not manage cash resources or P&I for the clients in care. The facility's last disaster drill was conducted on December 4, 2024. Staff records reviewed, individuals subject to a criminal record review obtained clearance; staff responsible for direct care and supervision have current First Aid and CPR certification and required training. Client records were complete and up to date. Administrator certification was also current.

Based on today's visit, there were no deficiencies observed at this time in the areas evaluated. An exit interview was conducted and a copy of this report will be provided to Administrator Alvarez. Signature confirms receipt of the document.