Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Monica Vartanian for an unannounced one (1) year Required visit for this facility. The facility is currently on a non-compliance plan and the focus for today’s visit is training for staff.

LPA arrived at 1:30 pm and was greeted by staff member Brenda Williams (Rodriguez). LPA informed the Administrator of the purpose of the visit. All clients were in their day programs or out in the community. Entrance interview conducted.

A tour of the physical plant was conducted with the Administrator at 1:55 pm. The facility has five (5) bedrooms and two (2) bathrooms currently occupying three (3) clients. One (1) bedroom is designated for staff use only.

Infection control: LPA reviewed the facility mitigation plan (approved on 01/30/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by staff member and asked all infection control questions. LPA signed-in and sanitize/wash hands was available.

LPA conducted tour of the kitchen around 1:55 pm and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPA observed chemicals, all knives and sharp objects in the locked kitchen cabinet under the sink. LPA observed the medications cabinet locked, along with the first aid kits.