Facility Evaluation Report

LPA Kimberly Ramirez conducted an unannounced Required 1-year annual visit utilizing the Infection Control Tool. LPA meet with DSP II Mary Jo Donato and explained the reason for the visit, Administrator Angela Porter arrived shortly after. Physical plant was toured, medications records were reviewed, and food supply was reviewed. There are four (4) level 4g developmentally disabled clients in the home; of which 2 can be non-ambulatory. There are currently two (2) clients under the age of 59 years old and two (2) clients over the age of 60 years old. The facility is a single-story home located in a residential neighborhood. It consists of 4 client bedrooms, 2 bathrooms, kitchen, living room, dining area, office area, shaded patio, and car port. The last emergency disaster drill was conducted on 06/19/2022.

· COVID-19 Infection Control signs were observed in the entrance and bathrooms. Screening protocols are in place. Clients in care do not wear a mask because it is not tolerated due to cognitive impairment.

· Each client bedroom is designated as a COVID-19 isolation room if needed.

· Four (4) centrally stored client medication records were reviewed. Facility maintains a 30-day supply of medications. Centrally stored medications are kept in a locked closet.

· Sharps and chemicals/cleaning supplies are stored and inaccessible to clients.

· Smoke detectors were tested and are operational. Fire extinguishers are fully charged. The facility has a fire pull alarm system.

· Facility has sufficient PPE’s except for gloves. PPE’s are being stored in living room area. Administrator will move to a different location that clients do not have regular access.

· Water temperature in kitchen was measured at 116.6 degrees F which is in the required 105-120 degrees F.