Facility Evaluation Report

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

LPA arrived at 10:38 am, but there was no answer at the door. LPA contacted the Administrator and she arrived at 11:05 am. All clients are attending their day programs. LPA informed the Administrator of the purpose of the visit.

A tour of the physical plant was conducted with Administrator at 11:15 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying three (3) clients. One (1) bedroom is designated for staff use only. The facility is Fire Cleared for four (4) ambulatory.

Infection control: LPA reviewed facility mitigation plan (approved on 03/20/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by the Administrator and was signed-in; sanitizer was available.

LPA conducted tour at the kitchen at 11:15am 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 all knives and sharp object being double locked and inaccessible to clients in care. LPA also observed all chemicals/hazardous items locked and inaccessible. The medication cabinet was observed to be locked.

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