Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived unannounced to conduct a one year required annual visit today. The last annual conducted at this facility was on 08/11/2022. Upon arrival, the LPA was greeted at the door by staff. The Administrator, Fatuma Nassanga arrived shortly after and the reason for the visit was explained. The facility currently has four (4) clients, all which were in day program at the time of the visit. Entrance interview conducted.

The LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Kitchen: The LPA inspected the kitchen and food area at 11:10 a.m. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates.

Common areas: Living and dining room furniture were observed to be in good condition. At 11:18 a.m., smoke detector(s) and carbon monoxide detector were tested and were operational at the time of the visit. The LPA observed required postings throughout the common space. The fire extinguisher was observed to be charged and last serviced in May 2023. Knives and sharps were observed in a locked cabinet adjacent to the living room. There is a room specifically for the washer and dryer. Clients are responsible for their own laundry needs; however, staff will assist if needed.

Outdoor: Cleaning supplies and disinfectants are stored in a locked shed in the backyard. The backyard has a covered outdoor area equipped with furniture for client use. The LPA observed two (2) side gates that are kept unlocked at all times. Outdoor and indoor passageways were observed clear of obstructions in case of an emergency. No bodies of water noted at the time of visit.