Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced visit at the facility for the purpose of conducting the required annual inspection. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility. LPA Lopez met with Ariel De La Cruz (Direct Support Professional) who allowed entry, LPA explained the purpose of the visit. Designated authority Mohammed Shirazi arrived a short time later and assisted with the visit .

The facility is licensed to serve 4 ambulatory developmentally disabled clients aged 18 to 59. Currently, there are four (4) clients in placement. Two clients are over 60 years of age.

The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan and Mitigation Plan. Bathrooms have hand washing signs, soap and paper towels. Per Facility Administrator all staff also have the COVID-19 vaccines including boosters. Facility Administrator is adhering to infection control requirements.

Refer to LIC 809C for continuation of report.