Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola arrived unannounced to conduct a Required - 1 Year inspection and met with Administrator, Katelyn Salvador (KS) . The annual inspection is focused on the Infection Control procedures and practices of this Adult Residential Facility. There are 6 clients in care, 2 of which were at Day Program at the time of visit.

LPA toured facility and grounds with Administrator and observed COVID-19 precaution signs posted in common areas to promote hand washing and physical distancing. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Infection control practices are present: entry procedures, face coverings, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. Staff follow indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test within 72 hours. Staff clean and disinfect the facility per shift change. Administrator stated high touched surface areas are disinfected after each use, such as the bathroom and kitchen area. Client rooms and common areas have disinfecting wipes and hand sanitizer. Bathrooms are equipped with liquid soap, paper towels and garbage cans with touch less lids. Staff understand hand sanitizer should not be placed in the rooms of clients who lack hazard awareness and impulse control. Facility submitted a mitigation program plan, and plan has been reviewed. Caregivers have completed PPE training however, Administrator to schedule N-95 Mask Fit Testing Training for all staff.

In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. No accessible bodies of water or fire safety hazards observed. Fire Extinguishers were found to be charged and serviced 10/9/2021. Smoke and Carbon monoxide detectors were tested and fully operational.

There was sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit.