Facility Evaluation Report

On 01/25/2022 at 12:22 pm, Licensing Program Analyst (LPA) Agard conducted an unannounced required annual visit with a primary focus on Infectious Control measures using the new CARE inspection tool. Upon arrival at the facility, LPA Agard conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report.

The facility is licensed to serve six (6) clients with developmental disabilities. Currently, there are five (5) clients present during today’s visit.

LPA met with Caregiver, Ana Ortega and both toured the inside and outside grounds of the facility. LPA was not properly screened for Covid-19 symptoms and temperature was not checked.

During the tour, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility’s entrance with visitor’s log. The facility’s designated visitation area is in the front room (living room) of the facility. LPA observed one staff, and clients maintaining 6 feet physical distancing. The staff was observed with a face covering. LPA observed required postings throughout the facility.

All four (4) rooms were inspected. 2 rooms are shared, and 2 rooms are single occupancy. Bed linen were sufficient in amount, mattresses were in good repair, adequate lighting was provided, storage for client personal belongings was observed.

Furniture in the living room observed to be in decent condition. There are security bars on some windows and no weapons on the premises. Both client bathrooms were checked, toilets and water faucets worked properly. The water temperature measured at 139.9 F. A comfortable temperature was maintained in the facility.

LPA toured the kitchen area and observed some supply of perishable and a 7-day of non-perishable food. Cleaning supplies were observed locked. Centrally stored medications were observed stored in their originally received containers and observed locked and inaccessible to clients in care. One fire extinguisher was Cont. 809C