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25 | Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived for an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by DSP Gisella Montalvo. House Manager Gisella Salgado and Administrator (AD) Liz Halahan joined the visit at approximately 1:00pm
The facility is a one-story home with five resident bedrooms, three resident bathrooms, kitchen, dining room, den, staff room/staff bathroom, front yard and detached garage. LPA noted that all residents were away at day program upon arrival. The facility is on the corner of its street with two entrance doors. There is no backyard, however the facility has shaded seating areas in the front yard. Facility appears clean and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured at 111 degrees Fahrenheit in the bathroom nearest the kitchen, 109 degrees Fahrenheit in the bathroom across from the laundry appliances and 109.9 degrees Fahrenheit in the bathroom accessible from the shared resident room at the back of the house. LPA observed facility has emergency food and water supply. LPA observed smoke/CO2 detectors to be operational. LPA observed the Fire Extinguisher to be charged. Service tag indicated it was last serviced on 7/25/2023. Medication, first aid kit and facility files are stored in a locked cabinet in the dining area. LPA reviewed four of the eight resident files, each contained required documentation. LPA reviewed P&I with administrator. P&I money reviewed was accounted for and documented properly. LPA interviewed three residents upon their return from day program. Upon their return, LPA observed residents talking to the staff about their respective days at day program and wanting to assist with the LPA's inspection. The residents appeared to be comfortable at the facility.
No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was provided to the administrator.
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