Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Jose Villalobos and Tyler Reyes conducted an unannounced Annual Continuation visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with House Manager Nick Baez and the purpose of the visit was discussed. The following (CARE) tool domains were utilized during todays inspection:

Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. The facility has an Infection Control Plan for LPA to review.

Sufficient staff observed to meet clients needs

Facility currently provides care and supervision for a total of four (4) Clients.

Staff have criminal background clearance and training.

Five (5) staff files were reviewed. Proof of staff training, health clearance, and 1st Aid/CPR and CPI training was observed. Staff file have criminal record clearances and are associated.

A total of Four (4) client files were reviewed. They contained admission agreements, Physician's Reports, Appraisal, TB clearance, Functional Capability Assessment / IPPs, Physician's Orders, medical consent, and medication records.

Four (4) Client centrally stored medications were reviewed.