Facility Evaluation Report

On 8/18/2021, Licensing Program Analyst (LPA) Stephanie Cifuentes conducted an unannounced annual required visit with a primary focus on Infection Control measures. LPA met with Program Director Michael Murphy and explained the purpose of today’s visit. The facility is licensed for seventy-seven (77) ambulatory clients of which thirty-eight (38) may be non-ambulatory.

Facility grounds consist of the following: Front and back gated parking lots. Front building consist of reception area/lobby, kitchen, 4 staff/visitor’s restrooms, office, 2 classroom/activity rooms and 2 client restrooms. Back building consist of a wellness room with a client restroom, 3 classrooms/activity rooms which contains a restroom and 1 staff restroom. There is a shaded area between the buildings. Common areas such as bathrooms and classrooms were observed to be neat, clean, and properly furnished.

LPA and Program Director Murphy toured the physical plant. There were no bodies of water or obstructions on the premises. Bathrooms were found to be within Title 22 regulations and were clean and operational.

LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. Fire extinguishers are fully charged.

During the visit, LPA observed the facility infection control practices. LPA observed screening protocol for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted.

No deficiencies were cited during this inspection visit.

An exit interview was conducted, and a hard copy of this report was provided to Program Director Micheal Murphy by email.