Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection with the focus of the Infection Control domain. LPA met with staff, Ruby Manikad, and explained the purpose of the visit.

The facility is approved for four (4) developmentally disabled adults, ages 18 - 59, which one may be non-ambulatory. There are currently 3 clients residing at the home and receive services from the Harbor Regional Center.

LPA Chan toured the facility and observed the following:

* There are 4 client bedrooms, 2 bathrooms, living room, dining area, kitchen, and the garage. There are no pool or bodies of water on the premises. There are no items obstructing the hallways or walkways. The facility has proper Coronavirus (COVID-19) signage at the main entrance and around the home. Hand washing signs are posted in each of the bathrooms and kitchen sink. Staff are continuing to screen all visitors upon entry. Staff and clients' temperature are also taken daily and documented. Sufficient PPE supplies are stored at the facility. The smoke detectors and carbon monoxide detector are operable. Food supplies for 2 day perishable and a week of non-perishable were observed. Knives and sharps are stored along with the cleaning supplies in the laundry area. Medications are centrally stored and locked. LPA reviewed all 3 client medications and staff are administering them as prescribed by the physician. Emergency contact information for clients are most current. All staff on duty were wearing face masks. Staff are still following COVID-19 guidance and disinfecting all high touched surfaces every shift. Per Administrator, there are backup staffing if needed.

No deficiencies were issued during the visit today. An exit interview was held and a copy of this report was provided to Administrator Shirrell Smith.