Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPAs met with Martha Garcia Ortega/S-1 and explained the purpose of today's visit. Juan Mendoza Alvarez (Assistant Administrator/S-2) arrived at approximately 8:50 A.M..

This home is a two story facility which consists of a living room, kitchen, dining room, laundry room/small area, (6) bedrooms (2 bedrooms downstairs and 4 bedrooms upstairs) and (2) bathrooms (1 downstairs and 1 upstairs).

COVID-19 Infection Control Practices (including signs) were observed at the entrance. Signs are posted to promote hand washing, cough/sneeze etiquette, and physical distancing were observed.

There are no clients that require incontinence supplies.

Restrooms have liquid hand soap and electric hand dryers. Hand washing signs observed.

Food supply (perishable for 2 days and non-perishable foods for 7 days) observed.

Medications reviewed for C-1 through C-4.

Per S-2, C-1 through C-4 have the COVID-19 vaccine and booster.

Per S-2, all (7) staff have the COVID-19 vaccine and booster.

Staff responsible for direct care and supervision were wearing masks.

Clients were socially distanced according to local public health guidelines.

Exit interview conducted, a copy of this report and appeal rights were provided to Juan Mendoza Alvarez (Assistant Administrator/S-2)