Facility Evaluation Report

At 11:30am, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct an annual inspection and met with designee of responsibility Jodian Allen, administrator Herby Mathurin was not able to be present during visit. Facility is an Adult Residential approved for 5 clients of which 2 are cleared for non-ambulatory. 1 bedroom approved for non-ambulatory. Facility currently has 3 clients in care.

LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed inside facility. All required postings were in a highly visible area. Clients have access to outdoor use with outdoor exits and walkways unobstructed. LPA observed emergency exit to be locked. Staff told LPA that door is kept locked at night due to elopement and then unlocked again in the morning. LPA had conversation with staff that door cannot be locked at any time during the day or night.

All bedrooms in good repair. All bedrooms were observed to have clean linens, night stand, chair and light. Oral rinse was left out in client bedroom. LPA told staff that any prescribed medication must not be in clients bedrooms. LPA observed a strong odor coming from bedroom #3. Staff stated client refuses to change clothing and room is cleaned while client leaves facility due to behaviors. LPA observed staff cleaning room after client left the facility. LPA observed the room to had been clean and free of odor.

LPA observed at least a 2-day supply of perishable and 7-day supply of non-perishable food.

Facility kitchen, refrigerators and freezers were clean, and food was stored properly. LPA told staff that all food must had expiration dates noted. Toxins are stored in a locked cabinet and inaccessible to clients. Sharps and knives were locked in kitchen drawers.