Facility Evaluation Report

Licensing Program Analyst (LPA), Natasha Persaud conducted a Prelicensing inspection. An initial application to operate a Residential Care Facility for the Elderly was received on 06/14/22 The facility was approved to care for four (4) Non-Ambulatory Elderly Residents. LPA was greeted and allowed entry into the facility by Administrator, Michelle Tuscano. LPA met with Applicants, Ira Jean and Candy Meneses and Licensee, Herminia Santos.

Structure - The facility is a single story structure with 6 bedrooms and 4 bathrooms. There is an outdoor covered area for resident use. No bodies of water were observed.

B edrooms Residents - Rooms #1-#4 may be used for Non-Ambulatory.

Bedrooms Staff - There is 1 office and 1 break room.

Bathrooms - All bathrooms have a working toilet, sink, grab bars and tub/showers with non-skid mats.

Linens & Hygiene Supplies - Adequate supply.

Emergency Phone Numbers, Exit Plan and Required Postings - Posted.

Smoke Detectors and Carbon Monoxide Detectors- Interconnected and hardwired.

Appliances - Stove burners, oven, microwave, washer, and dryer working.

Water Temperature - Measured at 119 degrees F.

Medications- Centrally stored and locked in a cabinet.

First-Aid Kit - Stored in a locked cabinet.

Resident & Staff Files - Located in the office.

Activities - Adequate supplies to include exercising, painting, and puzzles for resident's use.