Facility Evaluation Report

Licensing Program Analyst (LPA) Jey Cardenas conducted an unannounced required annual visit with a primary focus on Infection Control measures using the new CARE Inspection Tools. Upon arrival at the facility, LPA Cardenas met with staff, Rishi Mohabeer and conducted a risk assessment, based on the assessment, the facility is clear of Covid-19 infection. the purpose of todays visit was explained. The facility is licensed for four (4) ambulatory client and prefers to serve developmentally disabled adults ages 18 thru 59 years. LPA was granted access and allowed to enter the facility to conduct inspections.

LPA, Gopy, and Mohabeer toured the inside and outside grounds of the facility. The one story residential house consists of three (3) bedrooms, two (2) bathrooms, tv room/office, living room, kitchen, dining room, shaded backyard, indoor and outdoor activity area, laundry area, unattached garage. Outdoor and indoor passageways are kept free of obstruction.

During the tour, LPA observed the facility’s infection control practices. LPA verified that the facility has an approved mitigation plan report. LPA was properly screened for Covid-19 symptoms, temperature was checked and documented. LPA observed a sanitizing station at the facility entrance; visitors log with Covid-19 screening and temperature log, PPE supplies are readily available to staff, and an additional 30 day supply of PPE was observed. Sufficient paper, cleaning, and disinfecting supplies were observed. LPA observed all staff wear a face covering. LPA observed required postings throughout the facility.

All rooms were inspected, Bedroom #1 and #2 are designated for clients and contain furniture and lighting fixtures as mandated, bedroom #3 is being used as storage, bedrooms are private, one client per room. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed.

Resident bathroom was checked, bathroom#2 is inside bedroom#3 sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly, grab bars were secure, the water temperature measured at 107.8 degrees F in bathroom. Comfortable temperature was maintained in the facility.