Facility Evaluation Report

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced Required 1 Year visit to this facility. LPA met with staff Valentin Dizon who called the administrator and designated him to sign the report as she is indisposed. LPA explained the reason for the visit. Five (5) of the residents were at the Day Program during visit.

A tour of the physical plant was conducted at 9:18 AM and the following was noted:

The side main door is the only entrance being utilized at the facility. There is a sign on the side door that everyone entering at the facility must be screened. Screening area is located about ten (10) feet upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing mask.

The facility had submitted approved Mitigation and Infection Plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility.

The facility is a two - storey home and has two (2) staff rooms, five (5) client rooms and four (4) bathrooms. Smoke detectors and Carbon Monoxide detectors were tested and observed to be functioning properly. Fire extinguishers were fully charged and last serviced in 03/03/22. There is also a pull fire alarm system installed at the facility.