1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | During visit to the facility on 10/10/2022, no flies or other insects nor any signs of insect infestation were observed. Three (3) out of ten (10) clients were eating breakfast in the dining room. They did not express concerns with food sanitation. Facility records indicated that Licensee had a commercial services agreement for insect and rodent eradication services. Based on the service agreement obtained, the contracted company visited the facility once a month, or more often, as deemed necessary.
The facility – inside and outside – was observed as clean and sanitary, with no malodors noted. Furniture and appliances were in good repair. The carpet was worn but clean. The kitchen, dining, bathrooms, and laundry areas were clean. Per records, the facility’s Short Term Acute Residential Treatment (START) Program promotes an activity program that encourages socialization within the program and the general community. In line with this, the facility maintained a daily, weekly, and monthly household chores assignment for clients. Signing up for household chores was voluntary. When there were no client volunteers, facility staff performed the tasks.
Observations noted that the facility provided an adequate supply of pillow protectors and mattress pads. Each time a client left the facility, beddings were washed by the departing client a day before their last day. For clients who stayed for over a week, beddings were washed weekly by clients, as part of their routine household chores.
Record reviews verified facility staff prepared weekly menus for breakfast, lunch, and dinner a week in advance. There were adequate food supplies on hand. Food selection and marketing was done by facility staff. Based on review of the facility’s weekly menu (for October 17 to 23, 2022), each meal met at least 1/3 of the servings recommended in the USDA Basic Food Group Plan - Daily Food Guide for the age group served. Clients were free to bring into the facility and store their food and snacks of choice.
Based on interviews, observations, and records review, the four (4) allegations are found to be UNSUBSTANTIATED. A finding of Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
The report was discussed, and an exit interview was conducted with Acting Program Director A Abudiab, to whom a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) was provided at the conclusion of the visit. The signature below serves as confirmation that the documents were received. |