Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Robert Risinger, Administrator and Claudia Renteria, Care Staff and explained the purpose of today's visit. The facility is approved for capacity of (6) non ambulatory age range 18 through 59 of which (1) may be bedridden; bedridden to reside in Room #5. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Staff are adhering to infection control requirements. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan.

Physical Plant & Environment Safety: This facility is a single story home consi sts of kitchen, dining room, living room, (4) client bedrooms, (1) office, (4.5) bathrooms, laundry area, indoor/outdoor activity space, attached garage, and a shaded patio with seating. Currently, there is (1) client residing in the home. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Smoke alarms and carbon monoxide were tested and operable. Laundry area is in the hallway. The fire extinguisher near the exit door towards the backyard had an expired receipt of 08/09/2020 and the other fire extinguisher mounted on the wall in the dining area was expired, purchased on 10/01/2022. K nives, cleaning solutions, and disinfectants are locked and inaccessible to client. There are no firearms or weapons stored at the facility. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Hot water supply measured 113 deg F in bathroom #1, 113.3 deg F in bathroom #2 and 115.3 deg F in bathroom #3. Exit doors are free of any obstruction and there are no pools or large bodies of water. Backyard was inspected and has a shaded area and sitting area. There is camera in the front/back yards and common areas.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. A fire clearance is in place. Liability Insurance policy in the amount of $1,000,000.00 each occurrence and $3,000,000.00 in the total annual aggregate is valid. Per the designated Administrator, the last Fire Drill was conducted recently. *****Refer to LIC 809C for the continuation of this report.*****