Facility Evaluation Report

On 01/18/23, at 11:15 am, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA was met by Rizalie Bondoc, staff, and the purpose of the visit was explained. The facilities annual fees are due as of 01/18/2023, in the amount of $454.00.

This facility is licensed to serve 6 (4) Ambulatory, (2) Non-Ambulatory Developmentally Disabled adults ages 18 to 59 years old. There are currently four residents in the facility. The facility is a single-story structure located in a residential neighborhood. The residential home has the following areas: 4 bedrooms (1 bedroom for staff), 2 bathrooms, living/ office desk, kitchen, dining room, two backyard patio and front porch. Staff/resident files, and medication were in a locked cabinet.

As part of the inspection, my primary focus was on infection control. LPA observed the facility’s infection control practices: LPA observed a sanitizing station at the facility entrance. PPE supplies are readily available to staff and residents, and additional supplies are stored. Sufficient paper, cleaning, and disinfecting supplies were observed. The facility has the mandated COVID infection control posters.

LPA Scott and Ms. Bondoc toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The facilities hot water temperature measured 118.4 degrees Fahrenheit.