Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Kimberly Egbeyemi and discussed the purpose of today's visit.

This home consists of (3) bedrooms, (2) bathrooms, living room, dining room, kitchen and an attached garage. All clients residing at this home receive case management services provided by Frank D. Lanterman Regional Center.

COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility and throughout the facility.

Signs are posted to promote hand washing, cough/sneeze etiquette, and physical distancing were observed.

PPE supplies observed. Additional PPE supply stored inside the garage.

Hygiene supplies observed. Additional hygiene supply stored inside the garage.

Water supply observed. Additional water supply stored inside the garage.

Bathrooms have hand soap and paper towels. Bathrooms have hand washing signs posted.

Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed.

Staff responsible for direct care and supervision was wearing their mask.

Clients will socially distance according to local public health guidelines.

LPA was experiencing technical difficulties during this visit. Exit interview conducted, a copy of this report and Appeal Rights were provided to Kimberly Egbeyemi