Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection at the above-named facility. LPA met with Jennifer Farley, Program Director; Alvaro Pacheco, Interim Program Manager; and James Abrokwah, Program Manager and explained the purpose of the visit. At the time of arrival, the Program Manager was on duty and no clients present. Six (6) clients were attending their Day Program and one (1) client was away from the facility.

There are currently seven (7) clients residing in the one-story facility that is home to clients with a developmental and/or intellectual disabilities diagnosis.

A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting for complaint poster, Long Term Care Ombudsman and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service.

The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The facility was seen to be in good repair inside and outside. The carbon monoxide detector is in good working order.

At approximately 1:37 pm, LPA observed two (2) fire extinguishers last serviced on 3/13/2026.

LPA observed food items were not stored correctly. LPA observed multiple items of unknown frozen foods in unmarked ziplock bags. All unmarked frozen foods were disposed of at the time of the visit. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean.