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 caregiver staff, Elena Borrayo and conducted a risk assessment; based on the assessment, the facility is clear of Covid-19 infection. LPA was properly screened for Covid-19 symptoms and temperature was checked. LPA verified that the facility has an approved mitigation plan report. LPA was later met with administrator, Yadira Martinez who assisted with the inspection. Facility is approved for six (6) non-ambulatory adults 18-59 years of age, facility prefers to serve Developmentally Disabled adults. There are currently four clients in care.

LPA and administrator both toured the inside and outside grounds of the facility. Facility is a one-story family home located in a residential area; facility has five (5) rooms (four (4) client rooms and one (1) room is used as an activity room) living room/ dining room with small office area, kitchen, three (3) full bathroom, bathrooms are equipped with shower, washbasin and toilet, Washer/Dryer area, garage is located in the front of the property, and used as storage area with extra refrigerator/ and freezer, backyard shaded area.

During the tour, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance; visitors log with Covid-19 screening and temperature log, and records of daily Covid-19 screening and temperature checks of clients and staff. PPE supplies are readily available to staff, and an additional 90+ day supply of PPE was observed. Sufficient paper, cleaning, and disinfecting supplies were observed. LPA observed staff wear a face covering. LPA was informed that all staff and clients have been vaccinated and boosted. LPA observed required postings throughout the facility.

All rooms were inspected. Bedrooms are all private. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed.