Facility Evaluation Report

On 06/18/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to conduct an annual inspection. Upon entry, LPA Campbell observed one resident in the living room and two resident outside sitting in the backyard. Direct Support Provider (DSP) Vanessa Solorio greeted LPA Campbell and a tour of the facility was conducted.

After allowing LPA Campbell to use the facility office, DSP Solorio took LPA Campbell to the backyard. The South exit was obstructed with metal debris, a pile of leaves and a full bin of foliage. The yard itself was overgrown but had a seating area with chairs, a game area for a ping pong table, horseshoes and boxing. Two bikes were observed on the patio. The North side exit of the facility had overgrown grass. a water hose lay across the path and another bin sat directly in front of the gate exit. During the inspection, licensee cleared both sides to allow an unobstructed access to the front yard. A Technical Violation was issued.

The living room contained a sofa and television along with accessories. There were two refrigerators in the kitchen and there were enough perishables to last the facility 3 days. One appliance temperature was measured at 8 degrees Fahrenheit for the freezer and 42 degrees for the refrigerator. The other appliance was measured at 4 degrees Fahrenheit for the freezer ad 39 degrees Fahrenheit. Both measurements were within compliance. Knives were locked up and inaccessible to residents in the kitchen drawer. Cleaning supplies were also locked in a closet across from the kichen. A fully charged fire extinguisher was observed in the kitchen. LPA could not find proof of inspection but the extinguisher was fully charged. A Technical Violation was issued and the receipt will be taped to the extinguisher to confirm purchase date.

One staff file of 7 staff and 1 client file of 5 clients were reviewed. Employee rights and health screening were missing from the staff file and no dates were listed on the employee job application. Per licensee, the health screening had been received but was missing. The licensee will review client and staff files to ensure they are complete and all dates are entered.