Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:32 a.m., the LPA met with Administrator, Akosua Arthur and explained the reason for the visit. The facility is vendored by Tri-Counties Regional Center as a level II home.

RECORD REVIEW: Between 9:47 a.m. and 11:33 a.m., the LPA conducted a file review for all four (4) clients and staff regularly scheduled and observed the following: Staff have current first aid. Client records were reviewed for but not limited to current Individual Program Plan (IPP), medical records, admission agreements, and consent forms. All files were in order. The last fire drill took place on 12/20/2025. Administrator’s Certificate is valid until 06/23/2026. The LPA observed documentation of the Infection Control Plan and Emergency and Disaster Plan.

Starting at 10:44 a.m., the LPA conducted a review of medication and medication documentation with Administrator for three (3) clients and observed that medications were properly documented and assisted as prescribed. Medications are centrally stored and locked.

Starting at 11:55 a.m., the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. KITCHEN: The LPA observed the kitchen and dining area. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:56 a.m., hot water temperature measured at 106.5-degree Fahrenheit. Knives are stored in a locked box located inside the pantry.