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 Agnes Aguila (Administrator) and explained the purpose of today's visit.

This home consists of (4) bedrooms, 2 full-bathrooms, kitchen, dinning area, living room, laundry room, office and an attached garage.

COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, in all common rooms and hallways.

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

All Clients have their own private bedroom.

Per Administrator, (4) clients have both vaccines and booster.

Per Administrator, (13) staff have have both vaccines and booster.

Medication reviewed for (4) Clients (Client #1 through Client #4).

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

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

Clients were socially distanced according to local public health guidelines.

Exit interview conducted, a copy of this report and Appeal Rights were provided to Agnes Aguila