Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Edward Velarde and explained the purpose of the visit. There are 4 ambulatory developmentally disabled, level 4i clients in the home. The facility is a single story home licensed for bedridden residents located in a residential neighborhood. It consists of 4 bedrooms, 2 bathrooms, dining room, kitchen, living room, outdoor patio, and a detached garage. The last fire drill was conducted on 9/2/2021. Administrator certificate expires 5/30/2022.

COVID-19 Infection Control Practices were observed in common areas, isolation rooms/wing areas, and resident rooms. COVID-19 infection control signs were observed in all common rooms and hallways.

Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Furniture was observed to be at least 6ft apart.

Facility has one (1) designated isolation room.

Two (2) centrally stored resident medication records were reviewed.

Due to client's disability and behaviors none of the clients in care were observed wearing masks.

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

A posted Emergency Disaster Plan was observed.

Sufficient supply of Personal Protective Equipment (PPEs) was observed. .

Staff and resident files were not reviewed during today's visit.

Exit interview was conducted with Administrator Edward Velarde. A copy of the report was provided.