Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced Annual Required infection Control visit to this facility at 1:35 pm and observed COVID signs on the front door. LPA Smiths’ temperature taken upon entry and Covid symptoms questions asked by caregiver Khryzel Capitanio. LPA informed staff the purpose of this visit. The administrator was called and arrived at 2:15 pm.

LPA conducted a tour of the physical plant at 2:15 pm to ensure there are no health and safety hazards 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 five (5) bedrooms for clients: four (4) private bedrooms and one (1) shared bedroom. There are two (2) bathrooms: one (1) located in hallway and one (1) in bedroom #4. There is no body water in the facility.

Kitchen area was observed to be clean and sanitary. LPA reviewed the food service area, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) clients currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed with juice. Refrigerator in garage stocked with excess vegetables and meats. Sharps observed to be locked in bottom cabinet 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 and adequate seating for clients.