Facility Evaluation Report

On January 22, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Administrator, Lilian Bufi and explained the purpose of the visit.

LPA toured the facility inside and outside including all of client rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are four client bedrooms, all of which are single private rooms. Client rooms were observed to be clean with all required furniture. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 109.8-110 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete. According to the administrator, all four clients were at the day program.

Dining room was observed free from tripping hazards. A comfortable temperature of 72 degrees F is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. Medications, sharps, and chemicals were observed locked an inaccessible to clients in care.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of

January 2026. Emergency drills are logged and done every three month. LPA reviewed 4 client records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.