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 with Licensing Cynthia Kaye Burford and explained the purpose of today's Annual Inspection. LPA verified that the facility has an approved mitigation plan report. There are currently no Westside Regional Center (WRC) clients in placement, for the Adult Residential Facility (ARF). The facility's annual fees are current. Licensee Ms. Buford stated all clients have been relocated as of February 2018 to a Supportive Living Home with WRC in which she is a practicing vendor.

There are 12 Domains in the Infection Control Practices that will be observed and reviewed. "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. Ms. Kaye and LPA Bunker made a complete tour of the facility which included: Living room, dining room, family room, office, kitchen, breakfast area, pantry, 5 bedrooms, 4 bathrooms, laundry room, storage room, detached garage, patio/shaded area, indoor/outdoor activity areas.