Routine inspection·April 17, 2025

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility and conducted the visit with Administrator, Consuelo Banting. According to the facility’s license, the facility has a maximum capacity of six (6) non-ambulatory residents. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by the administrator, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature at taps accessible to clients measured at 100.6 F. The administrator stated a plumber has been scheduled to come inspect the hot water heater to enure it's in regulation temperature. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Continued on an LIC 809C. Fire extinguisher was purchased within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The reviewed files did not contain required documents, which is listed on the attached LIC 858 and LIC 859. Confidential records were stored in locked areas. The administrator stated they switched liability insurance company's and was in the process of finalizing the agreement. Deficiencies were observed or cited during today's annual inspection. Advisory Notes were also issued. An exit interview was conducted with Administrator, Consuelo Banting, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.