Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Licensee Gerardo Reyes and explained the purpose of the visit. There are five (5) clients ages 18-59, and one (1) age 60 and over. The facility is a single story home located in a residential neighborhood that is licensed for six clients [four (4) non-ambulatory and two (2) ambulatory].The home consists of five (5) bedrooms [1 bedroom is a staff bedroom], three (3) bathrooms, dining room, kitchen, living room, recreation area with laundry area, staff room, attached garage, backyard, front yard patio area, and an office with a staff bed.

The interior and exterior physical plant was inspected. LPA was not screened upon entry and did not observe visitor screening area/protocols in place. DSP acknowledged screening is not in place.

Facility has an approved COVID-19 mitigation plan. COVID-19 infection control signs were posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing; with the exception of 1 bathroom.

Room #3 has been designated as a COVID-19 isolation room if needed

Three (3) centrally stored resident medication records were reviewed.

Residents in care do not wear masks because they lack hazard awareness and impulse control.

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

A posted Emergency Disaster Plan was observed.

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

There was discarded furniture in the backyard area.

Emergency disaster drills have not been conducted since the beginning of the pandemic.

Exit interview was conducted with Licensee Gerardo Reyes. A copy of the report and appeal rights were provided.