Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced required annual visit at the facility today. LPA arrived at 10:14AM and initially met with staff. Clinical Director Jenn Enriquez and Administrator Sharon Volner were contacted and arrived during the facility tour at 10:34AM. Entrance interview conducted.

A tour of the physical plant was conducted with the facility staff beginning at 10:21AM and the following was observed:

Fire extinguishers were observed to be fully charged and last serviced on 02/03/2025. Hardwired combination smoke and carbon monoxide detectors were tested at 11:22AM and were functional at the time of the visit.

KITCHEN: Appliances and fixtures appeared clean and functional. There was sufficient nonperishable food to accommodate clients for (seven) 7 days and perishable food for two (2) days. Management indicated lunch and dinner are catered and the clients eat out on the weekends. Clients prepare their own breakfast foods. There were no visible immediate hazards observed.

BEDROOMS: There are four (4) Bedrooms, three (3) of which are designated for shared client use. The fourth bedroom is located on the first floor and is designated as an isolation room, as needed for infection control purposes. The three (3) shared client rooms are on the second floor. All client bedrooms were observed to contain appropriate furniture, bedding and linens.

BATHROOMS: There are four (4) full bathrooms and one (1) half bath. Three (3) full baths are designated for client use and one (1) is designated as the isolation room bathroom. The half bath is designated for staff and visitors. All bathrooms had functional fixtures and contained all required supplies. All bathrooms were supplied with appropriate paper and hygiene products. Water temperature was measured in client restrooms and measured within the required range. Report Continued on LIC 809-C