Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator, Raquel Gomes. Clients are attending to day program.

LPA/staff initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in client bathrooms measured at 113.5 and 115.3 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Cabinets containing cleaning supplies located in the garage were locked. Facility has at least two days of perishable foods and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected August, 2025. Smoke detectors are hardwired and maintained by a vendor. Most recent service was conducted August, 2024. Carbon monoxide detector was tested and operational. Most recent fire drill was conducted July 6, 2025. Exit Auditory alarms were on and working during visit. Medications and medication records were reviewed. Residents rooms are located downstairs and they do not go upstairs, all residents are ambulatory, no evacuation chair is needed. Cash Resources were reviewed. Required postings were observed. During the tour of the facility, LPA/staff observed electric face plate located in the living room in front of the stairs was broken, it needs to be replaced due to having exposed cables accessible to clients in care. Also, window screen at the front door needs to be repaired/replaced (technical violation issued).