Facility Evaluation Report

Licensing Program Analyst LPA Shawna Doucette conducted an Annual Inspection on this date. LPA was met by Executive Director Adelina Rico and discussed the purpose of the visit. Executive Director Adelina Rico began the tour at the front entrance of the facility.

Visitor log-in/temperature check, masks, and disinfection station was observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available for clients and visitors. Social distancing is maintained in the common areas. Hand washing and other various Covid-19 related signs were observed in the common areas. Facility is in full operation.

Cleaning supplies were observed behind a locked door in janitorial closet. LPA observed the following personal protective equipment in office; hand sanitizer, gown, face shield, gloves, and masks. Staff records were reviewed for infection control training. LPA observed all facility staff wearing masks. Client files have updated emergency contact information.

Exit interview was conducted and a copy of this report was provided.