Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an annual required visit. LPA met with Administrator Jesusa Viloria and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. The physical plant was inspected along with COVID-19 procedures, medications, food supply, and clients and staff records. The facility has an approved mitigation plan on file. The facility is

licensed to serve mentally disabled adults ages 18-59.

LPA toured the home and inspected (3) client bedrooms, (1) staff bedroom, (1) client bathroom, (1) staff bathroom, kitchen, dining room, living room, office area, laundry area which located in the attached garage.

LPA observed that laundry detergent and chemicals unlocked in the garage and accessible to clients. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the backyard. Passageways and exits are free of obstruction.

There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing mask upon entrance and during visit.

The kitchen was observed for the ability to prepare and serve food. Appliances in the kitchen were functional but not clean. The stove was dirty with oil stains all over. Kitchen cabinets also needed cleaning.

LPA observed an appropriate food supply of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days. All sharp objects and knives are stored in the kitchen cabinet making it inaccessible to residents.