Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Residential Technical Support Josephine Cate and explained the purpose of today's visit.

There are currently (4) clients in the facility. The facility is licensed to serve (4) developmentally disabled adults ages 18-59 years old and approved for (2) non-ambulatory clients . Facility is operating within the approved capacity.

The facility consists of four (4) client bedrooms (1 bedroom is designated as a staff bedroom), two bathrooms, 1 half bathroom, living room, Kitchen, Dining area, laundry room and a patio with chairs. Facility also has a detached garage that is used for storage.

COVID-19 Infection Control Practices were observed at the entrance of this facility and throughout the facility.

Per Residential Technical Support all clients have both COVID vaccines and boosters.

Per Residential Technical Support all staff have both COVID vaccines and have the booster.

Bathrooms have hand soap and paper towels. Hand washing signs were observed inside both bathrooms.

PPE supplies observed. Additional PPE supplies are stored inside the garage.

Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed. Additional food supply is stored inside the garage.