Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1-year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Maura Panganiban and explained the purpose of the visit. Administrator certificate expires 08/19/2023 Last fire drill was on 11/30/2021. Client’s are from Lanterman Regional Center. Home is level 4G.

The Facility has three shared rooms, 1 full and 2 half bathrooms, laundry room, kitchen, living room, dining room and den. Back yard has seating and shade to accommodate clients. Passageways were clear of obstructions.

· COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept.

· Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote handwashing, cough/sneeze etiquette, and physical distancing.

· Facility has one designated isolation room.

· 3 client rooms, common areas, bathrooms, and outdoor physical plant was inspected.

· No client rooms are equipped with alcohol-based hand sanitize but available at facility

· Five (5) centrally stored client medication records were reviewed.

· Staff responsible for direct care and supervision were observed wearing masks.

· Clients were not observed wearing masks but adhering to public health social distance guidelines.

· Sufficient supply of perishable food for 2 days & non-perishable food for 7 days were observed.

· A posted Emergency Disaster Plan was observed posted at facility.

· Staff and resident files were not reviewed during today's visit.

Exit interview was conducted with Assistant Administrator Maura Panganiban. A copy of the report was provided.