Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced required annual visit at the facility today. LPA arrived at 10:32AM and met with Clinical Director (CD) Isabelle Pilato. Administrator Sharon Volner arrived shortly thereafter. Entrance interview conducted.

At 10:54AM, LPA along with the CD and Operations Manager Maria “Cristina” Rivera 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. The following was observed:

KITCHEN: Appliances and fixtures appeared clean and functional. LPA observed sufficient perishable and nonperishable food and snacks available to clients. Management indicated lunch and dinner are catered and clients order food and buy groceries. Clients prepare their own breakfast foods. There were no visible immediate hazards observed. Knives and sharps were stored locked in a closet by the office.

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. Exit doors had functional auditory exit alarms.

BATHROOMS: There are four (4) full bathrooms and one (1) half bath. The full baths are designated for client use. The half bath is located downstairs and is designated for staff and visitors. All bathrooms had functional fixtures and were supplied with appropriate paper/hygiene products. Hot water temperature was measured in client restrooms and measured between 105-120 degrees F, which is within the required range. Report Continued on LIC 809-C