Routine inspection·May 15, 2024

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by Administrator Samantha Chiascione. The facility is a one-story home with six resident bedrooms, seven bathrooms, kitchen, dining room, living room, staff room, backyard and attached 2-car garage. LPA observed residents lounging in their rooms and in the backyard, receiving therapy or interacting with staff. All resident rooms had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens for residents in the living room cabinets. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water in bathrooms measured between 105 and 120 degrees Fahrenheit. Two bathrooms' hot water were measured close to 120 degrees Fahrenheit. LPA advised facility maintain a water log as the warmer months approach. LPA observed facility has emergency food and water supply. LPA noted Fire Extinguishers were last serviced on 5/8/2024. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets in the kitchen and garage. Knives are locked up separate from toxic chemicals. Medication for each client is kept locked in a cabinet in the living room. Exit gate is unlocked and self latching. LPA reviewed resident and staff files. LPA interviewed three staff and one resident. Based on record review, LPA observed the facility has not conducted quarterly disaster drills in the last year. A deficiency is being issued. Based on today's inspection, one deficiency is being issued. An exit interview was conducted and a copy of this report and appeal rights were provided to the facility.