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 was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met House Manager Judex Nkwocha and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report. There are currently three (3), Westside Regional Center (WRC) Adult Residential Care Facility (ARF) consumers in placement. The facility's annual fees are current.

12 Domains will be observed and reviewed. "LPA Bunker 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-family home located in a residential neighborhood. LPA Bunker and Mr. Nkwocha toured the facility which consisted of the following: Living room, kitchen, dining room, office area, seating room, 4 bedrooms, 2 bathrooms, laundry room, shaded patio area, storage room, detached garage, and indoor/outdoor activity areas. The front and back yard landscape is in good condition at the time of the visit. During the tour, LPA observed the facility’s infection control practices.

During the tour, LPA Bunker observed a sanitizing station; hand sanitizer, visitor sign-in log, and thermometer at the facility's front entrance. Logs of daily COVID-19 screening and temperature checks of clients and staff were available and updated.