Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection. LPA met with Administrator, Remedios Bose.

During visit, LPA toured the facility with Administrator to include the living room, kitchen, dining room, hallway, resident bedrooms, bathroom, laundry room, staff bedrooms, garage, and backyard. All fire exit routes and passageways were free and clear of obstruction. Facility staff present and live-in staff are fingerprint cleared and associated to the facility.

Facility temperature maintained at 70 degrees Fahrenheit. Fire Extinguisher last serviced on 07/29/2022. Facility did not have an operable carbon monoxide detector. During visit, the carbon monoxide detector was replaced and observed operable. Medications observed in a locked cabinet.

Kitchen supplied with plates, bowls, cups, utensils, and cooking supplies. LPA observed the cabinet equipped with sharp objects and the sharp objects was dirty with dirt, spider webs, and deceased insects. Staff first stated they wash the knives before use, however, upon follow-up it was found the staff actually use a different set of knives located in the locked staff living quarters. LPA observed the knives was clean. Administrator was advised. Facility has at least 7 days worth of non perishable foods and 2 days worth of perishable foods. Food storage containers observed with a lid and labeled. Facility does not have a thermometer inside the refrigerator and freezer to record temperature. Administrator was advised. LPA observed the cabinets which stored non-perishable foods were locked. Staff state a couple clients has behaviors in opening the cabinets and throwing / moving around items. Staff state clients are always given snacks upon request. During visit, the Administrator created a bin of accessible snacks for the residents and unlocked the cabinets. Administrator was advised and stated understanding.