Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by caregivers, Maribeth Adonay and Cleotilde Menes. LPA discussed the purpose of the visit with caregivers Adonay and Menes, and Licensee Antonio Balanza who arrived later at the exit of the visit.

According to the facility’s license, there may be a maximum of 6 clients, all of whom may be ambulatory at any given time at the facility site. During today’s inspection, the facility’s current census is five (5) clients living at the facility. There was one (1) client present at the facility site during the inspection.

LPA inspected the interior and exterior of the facility and inspected each room. The facility was clean, sanitary and in good repair. There was one client who opted not to have caregivers enter their room and said they would prefer to take out their items to be laundered. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities.

The facility’s ambient internal temperature was comfortable and compliant, at 70ºF. Hot water temperature at taps accessible to clients became compliant during the inspection. There were no labels or warning signs posted.

There were at least 2 days of perishable food, and at least 7 days of non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to clients.