Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted an annual required visit. LPA met with the administrator Joycelyn Lamuig and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures and observed food supply. Facility has submitted a mitigation plan and is approved on 05/02/21

The facility is a single story house located in residential neighborhood. The facility consists of three clients bedrooms, one client bathroom, one master bedroom with a bathroom for administrator and husband who live in the facility and one bedroom for administrator son also lives in the facility, dining area, living room and kitchen and a attached garage. While touring the garage, LPA observed there's an additional bedroom and bathroom there. According to the administrator, it has been built for only 7-8 months due to COVID-19. Administrator also reported that they never got any permit from the city or county or they never contacted Licensing or local department about the additional room. All clients' bedroom has two beds, closet, night stand and adequate lighting. Facility has sufficient linen supply including, mattress pads. The hot water temperature in the bathroom was measured at 125.1 degrees which is beyond the required 105 - 120 degrees. The food supply both perishable and non-perishable is sufficient. The common areas such as living room and dining area are clean and have the required furniture. The back yard has a shaded area and sitting area. The smoke detectors and carbon monoxide detectors are operational.

Facility is currently following COVID 19 recommendations regarding COVID 19 signs throughout the facility, social distancing between clients, disinfecting products are available in each room and facility is disinfected every 2 hours, restrooms have sufficient soap, paper towels, and signs, facility has an isolation room and PPE supplies are stored for 30 days.

Deficiencies cited on the 809 D. Exit interview conducted and copies provided to the administrator Joycelyn Lumauig