Pre-licensing visit·September 17, 2024

On 9/17/2024 at 9:50am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced pre-licensing. LPA met with Felinor Mariano, Administrator for Fely-Mar (Administrator Mae Morales-Altobar was not available during visit) and explained the purpose of the visit. The facility has an approved fire safety clearance for five (5) non-ambulatory residents. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a seven (7) bedrooms and three (3) bathrooms four (4) bedrooms and one (1) bathroom is occupied by staff. No bodies of water observed. There is sufficient lighting around the facility. Clients rooms are equipped with the proper furniture, and lighting. Bathrooms showers/tubs were equipped with non skid mats. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 108.5 degrees Fahrenheit in shared clients' bathroom. Carbon monoxide and smoke detectors present and operable. Facility inspection matches the sketch that was provided. Facility needs to correct the following before being licensed: · Lock for chemicals and laundry detergent in garage. · Lock Caregivers rooms which contained unlocked medication. · Provide flat and fitted sheets for residents beds. · Lock toolbox which contains tools located in garage. · Remove medication (B12, multi vitamins and RX drugs) in drawer located in covered area. Continued on LIC809C. continue from LIC 809 Remove 4X4 wood planks buckets pole, ladders dolly, cooking pots, located in the backyard. Remove all clutter such as boxes of shoes, tools, baskets, mattress, suitcase, shovel and other items stacked in covered porch area. Purchase a better lock for outside shed. Residents files are incomplete. Staff files not available. Issues were noted during inspection. LPA observed that facility is not ready to be licensed. This report will be submitted to the Central Applications Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. Exit interview conducted with Licensee and a copy of this report provided.