Facility Evaluation Report

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced Required One (1) year Infection Control inspection to the facility. LPA met with Cory Mitchell, Compliance Officer and explained the reason for the visit.

A tour of the physical plant was conducted at 10:00 am and the following was noted:

There is only one entrance being utilized at the facility, there are required posters posted at the main door. Screening area is located immediately upon entrance. LPA was screened upon entry.

The facility had submitted and approved Mitigation Plan.

BEDROOMS: Located on the second and third levels. There were three bedrooms designated for client use, all furnished for double occupancy. There were sufficient supplies of bedding and linens. There were no visible hazards.

BATHROOMS: Located on the second and third levels. There are three full bathrooms. Two designated for the use of clients only and one available for both clients and staff. All bathrooms had functional fixtures and appeared clean and sanitary with no visible hazards. The hot water in the second floor delivered at 117.2 F.

COMMON AREAS: Located on the second level. These included the dining room and living room. All common areas were adequately furnished to accommodate that maximum capacity of 6 clients. There were no visible hazards.