Facility Evaluation Report

On 10/07/2022 at 9:30am Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced at this facility to conduct an Annual Visit. LPA Pascua met with Assistant Program Manager, Deirdre Murchison and explained the purpose of the visit. The purpose of the visit was to conduct a 1-year required visit. There are 56 clients who are currently enrolled in this program. Current census was current 0 as 16 consumers were out of the facility currently at an outing. There were two other staff members present at the time of this visit, Jane Johnson and Frankie Orona.

This facility has a central screening point equipped with hand sanitizer and masks available.

At approximately 9:40am, LPA Pascua initiated a tour with Assistant Program Manager(APM), Deirdre Murchison.

At 9:45am, LPA Pascua observed two front rooms near the entrance that were used for meetings and currently used as an isolation room for clients who may have symptoms. The other room was used for files and any administrative duties. Furniture, windows, and screens were observed to be in compliance at this time. Another room was identified as the Program Manager Office and was observed to be in compliance at this time.

At 9:50am, LPA toured the staff break room which is made inaccessible to the residents at all times. LPA observed one refrigerator and lockers for staff members use.

At 9:55am LPA toured the facility kitchen. LPA observed there be to a water heater under the sink which is made to be inaccessible to the clients in care. LPA observed cabinets for storage and three refrigerators that are used by the clients are in good repair. The First-Aid kit located in the kitchen was observed to have all the required components and was in compliance at this time.

At 10:00am, LPA identified two fire extinguishers that were located in the main hallway and classroom area. Fire extinguishers were serviced on 08/19/2022 by a local fire company, Fire Code.

At 10:05am, LPA toured the main room which is split into three classrooms by barriers. LPA observed there to be two restrooms. All client restrooms are maintained with soap and paper towels available for the clients. Hot water temperature was observed to be 106.5 degrees F.