Facility Evaluation Report

On 02/23/2023 at 12:15 PM, Licensing Program Analyst (LPA) J. Sampair conducted an infection control annual inspection. LPA explained the purpose of the visit with Administrator (ADM) Annette Sanchez .

LPA inspected the facility inside and outside. Facility has an infection control plan in place that they are following. The designated infection control leader is the administrator. Adequate supplies of PPE were stored on the premises.

A written Emergency/Disaster plan was posted on the bulletin board for staff, clients and visitors to read. There were at least 7 days of nonperishable and 2 days of perishable foods. Centrally stored medications were stored in locked cabinets. LPA observed fire extinguisher was fully charged and serviced within the past 12 months. Smoke and Carbon monoxide detectors were operational. Toxic chemicals were stored in a locked closet.

Facility cited with 1 Type A and 2 Type B deficiencies.

ADM will send updated copies of the following to CCL on or before 03/02/2023:

· LIC308- Designation of Facility Responsibility

Exit interview conducted and a copy of this report provided via email.