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 Genester Barnes/S-1 and explained the purpose of today's visit.

This home consists of (3) bedrooms, 2 full-bathrooms, living room. kitchen, dinning area, laundry room, office and has a detached garage. San Gabriel Pomona Regional Center provides case management for all clients residing at this facility.

COVID-19 Infection Control Practices (including signs) were observed.

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

Bathrooms had hand soap, paper towels and hand washing signs.

Medication reviewed for Client #1 through Client #6 (C-1 through C-6). Medication is stored and locked inside the hallway closet.

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

Hand sanitizers observed throughout the facility.

Staff responsible for direct care and supervision were observed wearing masks.

Clients were socially distanced according to local public health guidelines.

Per S-1, all (6) clients are fully vaccinated and have the 2nd booster.

Per S-1, all (6) clients have their flu vaccine.

Exit interview conducted, a copy of this report and Appeal Rights were provided to Genester Barnes/S-1