Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's Required - 1 Year inspection. LPA met with Program Manager (PM), Jennifer O'Leary, Program Supervisor (PS), Angelica Suud, and Program Director (PD) Matthew Miao.

During visit LPA toured the facility with PM to include the entrance, living room, dining room, kitchen, resident bedrooms, bathrooms, office space, staff break room, laundry room, medication room, backyard, garage, and exterior.

Facility temperature maintained at 68 degrees Fahrenheit. Fire extinguishers last serviced on 02/26/2023. Carbon monoxide and smoke detectors present in the hallways. At least two direct care staff were present, along with the program coordinator, therapist, supervisor, manager, and case manager. All staff present are fingerprint cleared and associated to the facility.

In the dining room, LPA observed a wooden stick was blocking the opening of the sliding door leading to the front of the facility. The door has an alarm that was not turned on. PM immediately removed the wooden stick. LPA advised that the fire exit routes should be free and clear of obstruction at all time.

Kitchen is supplied with cups, plates, bowls, and utensils. Facility has at least 2 days worth of perishable foods and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 35 degrees Fahrenheit. Freezer temperature maintained at -2 degrees Fahrenheit. Laundry room observed locked. The locked laundry room contained chemicals, disinfectants, and sharp objects. The laundry room also contained a few non-perishable foods which were placed in separate cabinets and counters than the chemical and disinfectants. Additional non-perishable foods were located in the garage to include PPE supplies and emergency food. SEE LIC812-C.