Facility Evaluation Report

Licensing Program Analyst (LPA) Jey Cardenas conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Cardenas met with staff Jovan Nichols; the purpose of today’s visit was explained. LPA conducted a risk assessment, based on the assessment, the facility is clear of Covid-19 infection. LPA was later met by Licensee, Dr. Melvora Moore Fulton who assisted with the visit. Facility is licensed for four (4) ambulatory developmentally disabled adults between the ages of 18 to 59.

The one story residential home consists of a living room, kitchen, dining area, two (2) bedrooms, two (2) bathrooms, attached two car garage with shaded backyard patio area.

During the tour, LPA observed the facility’s infection control practices. LPA verified that the facility has an approved mitigation plan report. LPA was properly screened for Covid-19 symptoms, temperature was checked. LPA observed a sanitizing station at the facility entrance; a visitors log with Covid-19 screening, PPE supplies are readily available with an additional 30 day supply of PPE in stock. Sufficient paper, cleaning, and disinfecting supplies were observed. LPA observed all staff wear a face covering. LPA observed required postings throughout the facility. CCLD PINS were readily available to staff and clients.

All rooms were inspected, there is one (1) shared and one (1) private bedroom. Beds in shared bedroom are separated apart for social distancing. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed.

client bathrooms were checked, sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly, the water temperature measured at 105.4 degrees F in client bathroom. Comfortable temperature was maintained in the facility.

LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were locked. Centrally stored medications were observed stored in