Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced infection control annual inspection. LPA met with staff, Stephanie Chones-Henriettta. LPA spoke with Program Director Shirley Eastman over the phone. Shirley authorized Stephanie to be with LPA for inspection and to sign and receive this report. LPA also met with other staff, Jenalyn Oliveri and Alexandra Barry.

Facility has an approved LIC808 COVID-19 Mitigation Plan.

LPA inspected the facility with Stephanie. The program attendees/clients are gone for the day and LPA observed the staff cleaning and disinfecting the facility. LPA observed screening station by the front entrance with visitor's log, hand sanitizer, surgical masks and no touch temperature probe. Routine symptom screening (+/-) temperature and symptom checks are done at entry for all staff and clients and recorded daily. Trash bins were observed with pedal operated lids. Centrally stored PPEs inspected and observed adequate. There were COVID-19 signages/posters all throughout the facility and hand washing signs on all bathroom/toilets.

Fire extinguishers inspected and tags showed serviced April 21, 2019 and observed fully charged.

When discussed, Shirley stated the extinguishers were inspected last year and scheduled to be inspected again sometime next month. The two-in-one smoke and carbon monoxide detectors were operational.

LPA tested the water temperature in one of the bathrooms and measured at 124 degrees Fahrenheit.

LPA verified and Shirley stated staff were not fit tested for N95 respirator.