Facility Evaluation Report

On 1/17/23, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit with a primary focus on Infection Control measures. LPA was met by Caregiver Rosauro DeGuzman and explained the purpose of today’s visit. The facility is an ARF licensed for nine (9) ambulatory clients.

The facility is a one-story structure located in a residential neighborhood. It consists of the following: (4) resident bedrooms, (2) resident bathrooms, (1) staff bedroom, living room, dining room, kitchen, detached garage/storage, laundry room, and shaded outdoor seating area with table and chairs.

LPA and staff toured the physical plant. There were no bodies of water or obstructions on the premises. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. 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 and toxins, were stored in the laundry room and sharps objects are stored in under sink cabinet, locked and not accessible to clients. The kitchen was inspected and there is a 2-day supply of perishable and a 7-day supply of non-perishable food available, maintained properly. One fire extinguisher was located in kitchen.

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, a 30-day supply of Personal Protective Equipment (PPE) was not available and sign in and out logs for visitors and staff are present in the facility.

Two (2) deficiencies were cited during visit, see LIC-809D

An exit interview was conducted, and a copy of this report was provided to Caregiver Rosauro DeGuzman.