Facility Evaluation Report

Licensing Program Analyst (LPA) Jey Cardenas conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Cardenas met with DPS staff, Margarita Olivarez and conducted a risk assessment. Based on the assessment, the facility is clear of Covid-19 infection. LPA later met with back up administrator Blanca Macias and they both toured the inside and outside grounds of the facility. LPA was properly screened for Covid-19 symptoms and temperature was checked. LPA verified that the facility has an approved mitigation plan report. The facility is licensed for three (3) ambulatory clients ages 18-59yrs old.

The one story residential house consists of (3) client bedrooms, (2) client bathrooms, family room, dining room, kitchen, laundry area, covered patio with table and chairs, and an attached garage/ storage.

During the tour, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance; visitors log with Covid-19 screening and temperature recording, PPE supplies are readily available to staff, and an additional 90-day supply of PPE was observed. Sufficient paper, cleaning, and disinfecting supplies were observed. LPA observed all staff wear a face covering. LPA observed required postings throughout the facility.

All rooms were inspected, all three (3) bedrooms all private. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed.

Client bathrooms were checked, sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly, grab bars were secure, the shower was free of mold/mildew, and a non-skid mat was in place. The water temperature measured at 105.0 degrees F in client bathroom. Comfortable temperature was maintained in the facility.

LPA toured the kitchen area and observed minimum two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in a locked separate areas. Centrally stored medications were observed stored in their originally received containers and kept safe and locked and inaccessible to