Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Administrator Luis Bru for an unannounced one (1) year Required visit for this facility.

LPA arrived at 10:55am and was greeted by the Administrator. Four (4) clients were observed in the living room watching TV. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA reviewed the facility mitigation plan (approved on 03/13/21) to make sure the licensee was following current infection control recommendations. Upon arrival LPA was screened by the Administrator and asked all infection control questions. LPA was signed-in and sanitizer was available.

A tour of the physical plant was conducted with Administrator at 11:15am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. One (1) bathroom and one(1) bedroom is designated for staff use only and the facility has awake staff at night. The facility is Fire Cleared for four (4) ambulatory.

LPA observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each client.

At 11:27 am LPA observed all bathrooms to have the appropriate wash your hands signs posted. Hot water was tested and measured within regulation at 119.8 degrees F.