Facility Evaluation Report

At 10:30 a.m., Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an infection control annual inspection. LPA was greeted by staff and LPAs temperature was taken, infection control questions were asked, and LPA was asked to sign the visitor’s log. LPA later met with Jordan Staci, Administrator. The purpose of the visit was explained, and an entrance interview was conducted.

Physical plant : At 10:40 a.m., LPA toured the facility. There are four (4) bedrooms, three (3) of which are designated for clients. LPA observed table and chairs to be in adequate repair. LPA observed there to be no obstructions of passageways. Wall and floors were adequate, clean, and in good repair. All trash cans were observed to have lids.

The kitchen area: LPA observed the kitchen area to be adequately clean. Sharps are kept locked and inaccessible to clients. The bathrooms: Trash cans in bathrooms have lids to protect clients from cross contamination. There is a designated laundry area where cleaning supplies are stored. These are kept locked and inaccessible to clients. PPE supplies were readily available for clients and staff. There is an attached garage.

Backyard: There is a designated shaded area with a table and chairs. No bodies of water.

No deficiencies were observed during today’s visit. An exit interview was conducted. A copy of this report was signed and delivered.