Facility Evaluation Report

At approximately 8:49 AM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced Annual and was greeted by Emoni Norman, Lead DSP. Zaireene Lopez, House Manager (HM)arrived shortly after. At approximately 9:00AM, LPA and HM toured the building and grounds which was found to be clean. Facility was not found in good repair. LPA observed white repair patches on walls in shared female bathroom, family room, and the hallway that are unpainted. Per HM, shared female bathroom was recently patched up and C1 caused another hole in the same area. LPA advised HM facility must be kept in good repair at all times per regulation. LPA observed all walkways and exits to be unobstructed. LPA observed inner gate is slightly dragging on the ground, making it difficult to open. Advised HM all gates are to be working and in good repair. The amount of fresh and non-perishable foods was within regulation. Emergency food and water containers are located in the garage. LPA advised HM all food must be properly stored per regulation. Per HM, clients have their own shelves to store food and C2 gets triggered when food is touched by anyone else. C2 prefers chips to remain open. Advised HM to take precautions on pest control. Toxins are secure and not accessible to clients. Toxins are located and locked in the Laundry Room and Hallway. Medication is centrally stored and secure in the locked closet. There is a sufficient supply of hygiene products and linens on hand for client use. Mattress pads were in place or available for Client use. Water temperature measured within regulation between 109.2 and 110.2 degrees F at three out of three faucets accessible to clients. One of one Fire extinguishers were charged and inspected on 06/20/2023. Six out of six smoke detectors and four out of four carbon monoxide detectors were tested and found to be in working order. Two of four clients were at day program. Two of four clients do not attend day program and were at home. C3 and C4 requested to not have their rooms inspected. Disaster Drills are conducted quarterly with the last drill conducted 04/18/2024.