Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Alberto Lopez conducted an unannounced annual visit focusing on infection control at the facility. LPA Lopez met with Sandra Montes, the 1:1 for one client and explained the reason for the visit. Maria Guzman, lead caregiver arrived 10 minutes later.

The facility is licensed to serve 3 non-ambulatory clients between 18 to 59 years old. Facility is a one story single home, with an attached garage. There are no large bodies of water in the facility. Facility has a living/dining,,,,, room, a kitchen, an office space, 3 client bedrooms, 1 client bathroom, 1 staff bathroom, a front yard and a back yard with shaded sitting area.

LPA conducted a tour of the facility and observed the following:

Facility's Kitchen has sufficient food supplies for 2 days of perishables, and 7 days of non-perishables; LPA observed fresh fruit, frozen meats, vegetables, can foods and additional emergency food supplies and water. Kitchen sink's water temperature was measured at 112.4 degrees F. Sharps/knives were locked in a cabinet to the right above the sink, and cleaning supplies were lock under the sink. LPA observed and review first aid kit on cabinet on top of refrigerator which has all the required items. LPA observed medication cabinet in office space area and is kept locked. Bedrooms #1, #2, #3 have proper lighting, and furniture; beds have all the required bedding. Client's bathroom #1 was observed to have skid mats, handle grab bars, client's hygiene products kept in cabinet, and water temperature was tested at 114.8 degrees F. LPA reviewed 3 clients' medications.

Facility is following COVID 19 recommendations, signs were observed throughout the facility, screening for staff, clients, and visitors is conducted, hand washing posters in each bathroom along with hand soap and paper towels. Staff were observed wearing face masks.

Per Title 22 regulations, deficiencies were cited during this visit. (see 809D) Exit interview was conducted with Maria Guzman, lead caregiver; a copy of this report was provided.