Facility Evaluation Report

Licensing Program Analyst (LPA) Elena Mallett arrived at the facility to conduct and unannounced Annual visit. LPA Mallett met with Direct Support Providers Demar Mondragon and Analiza Mondragon and explained the purpose of the visit. Administrator Edith Silva spoke with LPA Mallett on phone and said that Direct Support Providers can lead the tour and sign for the Licensing Report.

The facility is licensed to serve 4 disabled, non- ambulatory only adults ages 18-59. There is currently 4 clients residing at the facility. The facility is located in a residential neighborhood in Norwalk.The facility consists of 4 client bedrooms, a living room, kitchen, dining room, activity room, 3 bathrooms , a garage, front and back yard patios.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility.

Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan and facility maintains a 1000 dollar Surety Bond.

Physical Plant & Environment Safety: LPA toured facility, residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. Required furnishings and proper lighting was observed in all the client rooms. Hallways were clear and free of obstruction.