Routine inspection·January 27, 2025

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced visit, for the facility's one year required annual inspection. LPA was greeted by caregiver Glenda and Desiree Dulay, who allowed LPA to enter. LPA explained the reason for the visit and contacted Co-Administrator Errol Fernando. The annual inspection included: Common Areas : Living/dining/family room furniture were checked. The living room is neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke detectors are hardwired and interconnected and observed to be operational. There is a carbon monoxide installed at the facility. Fire extinguisher is located in the dining area and observed to be full and charged. The living room was clear of clutter, furnished with couches and recliners to sit the capacity of the facility. Furniture was observed to be in good repair. Hallways, entry and exits were clear of any obstructions. Kitchen: The kitchen was observed to have a refrigerator, stove/oven, dishwasher and microwave. Fixtures and appliances were observed functional. LPA observed a sufficient amount of 2-days perishable and 7 -days non-perishable food in the facility. Knives were observed locked in a kitchen drawer. Centrally stored medication was observed locked in a cabinet by the kitchen. There is an extra fridge in the garage, stocked with food. Bedrooms: There are a total of four (4) resident bedrooms. LPA observed each resident room to be properly furnished and have appropriate beddings, linens and sufficient lighting. Exit doors had auditory alarms that were observed functioning. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. There are (2) exit gates that were easily accessible. Passageways were clean and unobstructed. The garage is attached to the house. The garage is currently being used as rest area and storage for old equipment, chemicals, and supplies. Laundry room attached to the garage where LPA observed laundry detergents, cleaning agents and other toxins are stored in a locked cabinet in the laundry area. The laundry room was observed to be locked during visit. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the toilet and shower area. The hot water temperature was measured at 113.7°F. Towels and washcloths are not shared. LPA observed non-skid mats and shower chairs. Medications : LPA observed medication in the dining area cabinet to be locked and inaccessible to residents. There were two (2) complete first aid kits with manual observed. Client records : Client records were reviewed. Residents record appeared to be complete and current. Staff records : LPA conducted a complete file review of staff records. Staff records appeared to be complete and updated, except yearly and medication training could not be verified. LPA was told they would email documentation. Technical assistance violations and citation were issued. Disaster drill was last conducted on 01/11/2025 . Citation and technical violations issued, appeals rights, exit interview conducted, and copy of this report issued.