Facility Evaluation Report

On 04/26/22 at 10:10 a.m Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conducted an unannounced annual inspection. Upon arrival LPA was greeted by staff and LPA’s temperature was taken. LPA Martinez later met with Administrator Shirley Walker via Facetime and the purpose of the visit was explained. A physical tour of the facility was conducted and the following was observed:

Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Facility has sufficient PPE supplies for more than 30 days. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. Sharps and medications are centrally stored in a locked area. Smoke detectors/carbon monoxide are located throughout the facility and are hardwired. Smoke detectors and carbon monoxide detectors were tested at approximately 10:45 a.m. and appear to be functional. Fire extinguisher has a service date of 08/06/2020. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a comfortable temperature of 72.0 F. Facility has two living area where one is designated for an activity room. The facility has an attached room where there is an indoor pool. Pool is empty and room door is maintained locked. Clients Rooms: Facility has four (4) bedrooms which of three (3) are designated for client use. Facility has one live-in staff. All four (4) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the clients. All rooms have adequate lighting. Bathrooms: There are three (3) bathrooms in the facility of which two (2) are designated for client's use. LPA observed all bathrooms to be clean and free of any hazards. The hot water was tested in both client’s bathrooms and were within regulations. All trash cans located in the bathrooms had tight fitting lids.