Facility Evaluation Report

On October 3, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Noel Canon and House Manager, Rommel Canon and explained the purpose of visit.

LPA toured the facility inside and outside including all of client rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. Living room and dining room was observed to be clean, free from tripping hazards and odor-free. A comfortable temperature of 72 degrees F is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to clients. During the visit, LPA observed one client laying on the couch watching television. According to the administrator, the other two clients are at their day programs.

LPA observed four client bedrooms all of which single-private room. All rooms were observed to be clean, in good repair with required furniture. Two full bathrooms were observed, all were clean and odor-free, equipped with paper-towels and liquid soap. Extra linen and first aid kit was present. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current as of May 2024. Emergency drills are logged and done quarterly.

LPA reviewed 3 client records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No deficiencies are cited during the visit. Report is reviewed House Manager and a copy is provided.