Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted an unannounced Annual visit to the facility listed above. LPA met with Francyn Altamira, Administrator, and explained the purpose of the visit.

LPA toured the facility with the administrator. The clients were all at day program and not at the facility during the time of the visit. The facility is maintained in conformity with state fire marshal regulations. The facility has an Emergency Disaster Plan (LIC 610D). The smoke detectors and carbon monoxide detector were present. Fire extinguishers (2) were located in the entry and laundry room. Extinguishers were fully charged and last inspected on 4/18/25. There are no pools or bodies of water and no firearms or dangerous weapons stored on the premises. All toilets and hand washing facilities are maintained in a safe, sanitary, operating condition. The inside of the facility is clean, safe, sanitary and in good repair for the safety and well-being of clients, employees, and visitors. Each client is accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. There is a minimum 2-day supply of perishables and 7-day supply of nonperishable foods. Food is stored and prepared in a safe and healthful manner. Disinfectants, cleaning solutions and poisons are inaccessible to clients. The facility has adequate emergency supplies and first aid supplies. Outdoor walkways are free from obstruction and the facility has outside covered patio areas for individuals to use. LPA reviewed (5) staff files for criminal record clearances and associations, Health screening with TB results, and current First Aid/CPR. Staff records reviewed are in-compliance. LPA reviewed four (4) client files for current health records, needs and services plans/ISP, signed admission agreements and personal rights. All records reviewed are in-compliance.

Clients’ centrally stored medications are kept in a locked cabinet in the dining room. Medications are given as prescribed by doctors’ orders. No medications were expired, all medications were stored in original containers, and no labels were altered.

Exit interview conducted and the copy of report printed