Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with DSP staff Olufunke Oseni and explained the purpose of the visit. Administrator Zuleyma Osorio arrived a short time later and LPA explained the purpose of the visit. There are four (4) level 4N ambulatory developmentally disabled clients ages 18-59 in the home. The facility is a single-story home located in a residential neighborhood that is licensed for 4 non-ambulatory of which 1 may be bedridden. It consists of 4 client bedrooms, living room/dining room, family room, kitchen, 2 bathrooms, backyard patio area, and a detached garage. The last fire drill was conducted on 9/8/2022.

· The interior and exterior physical plant was inspected.

· COVID-19 Infection Control Practices and signs were observed in the entrance, common areas, hallways, bathrooms and resident rooms.

· Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.

· Each client's room is designated as a COVID-19 isolation room if needed.

· Four (4) centrally stored resident medication records were reviewed.

· None of the clients in care wear masks but practice social distancing guidelines

· Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.

· A posted Emergency Disaster Plan was observed.

· Sufficient supply of Personal Protective Equipment (PPEs) was observed.

· Staff and resident files were not reviewed during today's visit.

Exit interview was conducted with Administrator Zuleyma Osorio . A copy of the report was provided. (Will email report due to printer issues.