Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced Annual Required infection Control visit to this facility at 9:40am and observed COVID signs on the front door. LPA Smith observed temperature check station area with sign posted. Temperature checked by Edgar Prepuse. Covid symptoms questions on separate log. LPA informed staff the purpose of this visit. The administrator was called and arrived later.

LPA conducted a tour of the physical plant at 10:15 am to ensure there are no health and safety risks and facility staff are following Title 22 Regulations and the following was noted:

Hand washing, coughing etiquette, physical distancing, and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover.

Facility has total of five (5) bedrooms: four (4) for clients: two (2) private bedrooms and two (2) shared bedrooms and one (1) for staff. There are two (2) bathrooms: one (1) located in hallway and one (1) in bedroom #5. There is no body water in the facility.

and nonperishable foods). The kitchen food supply was observed and sufficient for the six (6) clients currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed with juice. Second refrigerator stocked with excess meats and water stored on floor near staff room. Sharps observed to be locked in drawer in kitchen and inaccessible to clients.

Living and dining room furniture were also checked for functionality (wear and tear). Furniture was observed to be in good condition.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels in hallway closet. Locked closet near front door used to store toiletries and incontinent supplies.