Facility Evaluation Report

Licensing Program Analysts (LPAs) Christi Coppo and Victoria Bertozzi arrived unannounced to conduct a pre-licensing inspection and was greeted by Celio Buta, Psychiatric Technician. Facility Administrator, Erica Ng arrived later at approximately 9:00am. Facility currently has three residents in care.

At approximately 9:15am LPAs and Erica Ng, Administrator toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPAs observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. Kitchen cabinet containing cleaning supplies was locked.

Facility is a one story residence with four bedrooms, two and a half bathrooms, an office and common areas. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Shower room #2 is being cited on current facility, Romana Home 496803748 , for not having proper drainage. Facility to provide plan addressing how they will ensure proper draining of water and to mitigate tripping and falling hazards as well as water damage to floor. Once plan of correction is received, LPA to return and continue pre-licensing inspection. Water temperature read at 105.3 and 103.2 degrees F which is not within regulation of 105 & 120 degrees F. LPAs advised Administrator to adjust water heater so that water dispenses at temperature within regulation of 105 & 120 degrees F, Technical Advisory given.

Facility has sufficient items used for cooking and eating. Facility has a locked closet in the office area used for centrally stored medications. Cleaning supplies and toxins are locked in a cabinet under the kitchen sink and in a cabinet in the laundry room. Perishable and non-perishable foods are stored per regulation. Facility has areas inside and outside for visiting and activities.