Facility Evaluation Report

On 11/12/2024, Licensing program Analyst (LPA) Jaime Vado conducted an unannounced required - 1 year inspection. LPA met with Administrator Johnny Macabasco and explained the purpose of today’s visit. Currently there is one client present in the facility and 4 staff.

This is a single level facility with 4 bedrooms for clients. Facility is equipped with fire sprinklers through out the facility and in client rooms. The facility is licensed for age 60 and over and approved for 4 non-ambulatory clients. LPA Vado toured the facility both inside and outside. All outdoor and indoor passageway are free and clear of obstructions for emergency exit routes in case of fire or emergency. Facility's ambient temperature is comfortable for residents and LPA. No pools or bodies of water were observed during today's visit on the premises. LPA observed fresh food supplies and emergency one week of nonperishable and two (2) days of perishable foods as in place. Knives are locked in the kitchen drawer across from the sink. Toxic chemicals are stored in locked cabinets located in the garage. An outdoor shed is observed to house additional cleaning supplies and chemicals including additional PPE and incontinence supplies. Medications are locked in a medication cart located in a central hallway connecting to all client rooms. Each client room observed contained the required furniture as outlined in regulations . Facility has functioning smoke detectors within the facility as well as carbon monoxide detectors. LPA observed carbon monoxide detector in the central hallway where all client rooms are located. The facility is equipped with two full bathrooms which are in good working order. Water temperature is tested at 112F. Facility tests water daily twice a day and keeps a log posted on the refrigerator in the kitchen. Fire extinguishers are observed through out the facility. One is observed in the garage and the kitchen area of the facility. Both observed as charged and ready for use per the dial reading on the extinguishers and an inspection date of 05/13/2024.