Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced annual inspection focusing on the Infection Control Domain. LPA was allowed entry into this home by Richard Obilor (Direct Support Professional/DSP) and discussed the purpose of today's visit. The facility is approved to serve Developmentally Disabled adults ages 18-59, ambulatory only. There are 4 clients living in the facility. This single-story home contains three (3) bedrooms, two (2) bathrooms, a living room, sitting area/activity area, kitchen, dining area, backyard, and detached garage. DSP Uchenna Umeohana arrived at 12:55pm and the Facility Manager arrived at 2:20pm and assisted LPA with the inspection.

The facility had a universal entrance screening area including a thermometer, PPE supplies, screening logs, and sign-in sheet. LPA observed DSP Richard Obilor not wearing a mask and did not screen LPA for covid upon entry.

There was only one(1) COVID-19 signage placed on the front door entrance..

Facility maintained a 30-day supply of PPE stored in the detached garage.

The laundry room is located inside the home and has cleaning supplies inaccessible to residents.

The kitchen was inspected. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All the appliances are clean and are working properly.

LPA observed the cabinet under the kitchen sink that was unlocked which contained hazardous chemicals, bleach and cleaning solutions.

Kitchen knives and sharps were locked in a cabinet and inaccessible to clients.

Hot water temperature was measured in kitchen and bathrooms and found to be within the required 105 - 120 degrees.