Facility Evaluation Report

On June 11, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with Program Director, Willie Raz and LPA explained the purpose of the visit.

LPA toured facility and grounds with the program director. No accessible bodies of water or fire safety hazards observed. The indoor and outdoor passageways were free of obstruction. LPA toured the facility activity rooms, changing rooms, bathrooms, storage rooms and kitchen area.

LPA observed 2 large activity rooms- one for the ARF clients and the other is for the RCFE clients and the activities are designed pertaining to their age group and LPA observed all the clients were participating in Bingo during the tour.

Three fire extinguishers, two pull alarm, sprinklers, smoke detectors, carbon monoxide detectors are all present on premises. Hot water temperature was measured at 110- 113 degrees F. A comfortable temperature is maintained and lighting is sufficient for comfort.

LPA observed chemical, toxins and sharps are locked and inaccessible to residents in care. Clients belongings/lunches were observed to be stored on carts throughout the facility.

Fire extinguishers were last inspected on 5/23/2025

A review of (5) client files were conducted and noted on the LIC 858.

A review of (5) staff files was conducted and noted on the LIC 859.

This report is reviewed and discussed with the program director and a copy is provided.