Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA Bunker was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met with staff Clay Hope and Barhea Theadore and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report.

LPA Bunker verified that the administrator is present at the property 20+ hours per week, and all current staff are fingerprint cleared and associated with the facility. The facility's annual fees are current. The facility currently has five (5) ambulatory, and one (1) non-ambulatory Westside Regional Center (WRC) consumers in placement.

The following Domain will be observed and reviewed: Infection Control Practices "I will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections."

The facility is a single-story family home located in a residential neighborhood. LPA Bunker and staff made a complete tour of the facility which consisted of: Living room, dining area, kitchen, breakfast area, den, office area, 4 bedrooms, 2 bathrooms, laundry room, storage room, attached garage, patio/shaded area, indoor/outdoor activity areas.