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 Nelly Pineda and conducted a risk assessment, based on the assessment, the facility is clear of Covid-19 infection. Administrator, Adriana Galeano arrived shortly after and assisted LPA, the purpose of todays visit was explained. The facility is licensed for six (6) non-ambulatory clients.

LPA met with the administrator and they both toured the inside and outside grounds of the facility. The one story residential house consists of four (4) bedrooms, living room, dining room with small office area, kitchen, two (2) full bathroom, bathroom #1 is equipped with shower bed ; bathroom #2 is equipped with a bathtub, laundry area, garage is located in the back of the property, and used as storage . Facility has backyard shaded patio area/ porch.

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. PPE supplies are readily available to staff, and an additional 90+ day supply of PPE was observed in the garage area. Sufficient paper, cleaning, and disinfecting supplies were observed. The facility’s designated visitation area is the shaded backyard area. LPA observed all staff wear a face covering. LPA observed required postings throughout the facility. CCLD PINS were readily available to staff and clients.

All rooms were inspected, 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 bathrooms were checked, sufficient liquid soap and paper towels were observed. Toilets and water faucets worked properly, grab bars were secure, the shower was free of mold/mildew, the water temperature measured at 118.8 degrees F . Comfortable temperature was maintained in the