Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Ramily Hernandez, House Manager. Michelle Wojciechowski later joined LPA for the remainder of the inspection.

The facility is approved and licensed to serve six (6) ambulatory developmentally disabled adults ages 18-59. On the day of the inspection none of the six (6) clients were present as they were at their day program.

During the inspection, LPA toured the interior and exterior of the facility and observed each client’s room. The facility was organized, kempt and in good repair. Pathways inside the property 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 client activities.

There were at least two days of perishable food, and at least seven days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in lock areas.

LPA observed a swimming pool in the backyard. The pool was enclosed by a fence that was five feet high and had gates that swung away from the pool, self closed and self latched. Per Ms. Wojciechowski , no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. Hot water temperatures measured in the client restroom and kitchen recorded at 113.1 and 106.7, degrees Fahrenheit which are