Facility Evaluation Report

On 06/10/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced infection control annual inspection. LPA met with administrator/licensee Romar Raquino and explained purpose of today's inspection. There are 3 staff present, the licensee Romar, and no clients as they are out at day program.

LPA was allowed entry into the facility. This is a single level facility. Annual Fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored in the kitchen in locked cabinet adjacent to the sink. Perishable and non-perishable food items are observed as in place. There are additional refrigerators and freezers in the garage areas which also carry additional food supplies. LPA observed the medications as in place and locked in a closet adjacent to staff office and garage. First aid kit is observed as complete with required items. LPA observed that there are multiple fire extinguishers in place through out the facility last inspected on 05/15/2024, smoke detector/carbon monoxide detectors are observed in place through out the facility, and central heating/cooling system. Facility is also equipped with fire pull alarms in two locations. One is centralized near the resident rooms and another near the dining room in a common hallway. PPE and additional food supplies are observed as in place. Laundry area is also observed as fully operational located in the garage area. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Water temperature was measured at 105F in a resident bathroom. Bathtub and shower room floor is equipped with non-skid items. LPA observed all client rooms at random and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident linen supplies are observed as in place stored in a closet adjacent to resident rooms. Disaster drills take place monthly per records observed. Last taking place on 03/13/2024.