Facility Evaluation Report

Licensing Program Analyst (LPA) V. Maldonado made an unannounced required 1 year visit to conduct the annual inspection. LPA Maldonado met with licensee Mona De La Rosa and explained the purpose for the visit.. LPA used the infection control tool to evaluate the facility. During today's visit, LPA toured the physical plant with the licensee. Food and PPE supplies were observed, COVID-19 procedures were reviewed, staff files were checked for criminal background clearance and training, and client medications and files were reviewed for updated emergency information. The facility is licensed to serve six (6) developmentally disabled adults, of which 4 may be non-ambulatory.

The facility is a home located in a residential neighborhood. It consists of 4 client bedrooms, 2 bathrooms, a dining room, a kitchen, a living room, a shaded patio, a locked and inaccessible swimming pool, and an attached garage. LPA observed all client bedrooms to have the required bedding, linens, furniture, and storage space. The bathrooms were observed to have an operating toilet, shower, and wash basin. Both bathrooms accommodate non-ambulatory clients and had the required grab bars. The wash basins were fully stocked with hand soap, paper towels, and hand sanitizer. The water was tested in both bathrooms and measured at 114.2*F in bathroom# 1 and 114*F in bathroom# 2. Sufficient PPE was observed around the facility, readily available for resident/staff/visitor use. Additional PPE was stored in the garage. All the required COVID-19 signage was observed throughout the facility. The food supply was observed in the kitchen to be the required 2-day non-perishables and 7-day non-perishables. The emergency food supplies was also observed in the kitchen pantry. All sharps were observed to be stored and locked in a kitchen drawer next to the kitchen sink, and cleaning supplies and toxins were locked and stored under the kitchen sink and in a locked cabinet in the garage. The kitchen door leading to the attached garage remains locked at all times, inaccessible to clients in care. The washing machine and dryer were observed in the garage, to be operating and in good repair.