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 DSP staff Milagros Fransisco and explained the purpose of the visit. Licensee Florentino Vitangcol and Administrator Myrabel Vitangcol were explained the purpose of today's visit telephonically. There are four (4) level 4C ambulatory developmentally disabled clients ages 18-59 in the home. The facility is a single story home located in a residential neighborhood that is licensed for 4 ambulatory only clients. It consists of 4 client bedrooms, living room, dining room, kitchen, 2 bathrooms, backyard patio area, and attached garage. The last fire drill was conducted on 8/10/2021. Administrator certificate expires 8/27/2022.

The interior and exterior physical plant was inspected.

COVID-19 Infection Control Practices and signs were observed in the entrance, common areas, hallways, bathrooms and reside rooms.

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

Each client's room is designated as a COVID-19 solation room if needed.

Four (4) centrally stored resident medication records were reviewed.

Client's wear masks in the home, except during meal times.

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.

Client rooms #2 and #3 had holes in the walls.

Both outdoor side gates had locking mechanisms. Staff was not able to open them at first, and later found the key to the right side gate door. The left side iron gate's door handle is broken and hard to open.

Exit interview was conducted with staff Milagros Fransisco. A copy of the report was provided.