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 staff Evelyn Abrea and explained the purpose of the visit. There are three (3) level 2 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 and 2 non-ambulatory clients. It consists of 3 resident bedrooms, 1 staff room, 2 bathrooms, dining room, kitchen, living room, outdoor patio, enclosed porch room, and detached garage. The last fire drill was conducted on 5/3/2021.

The interior and exterior physical plant was inspected.

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

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

Facility has one (1) designated isolation room.

Three (3) centrally stored resident medication records were reviewed.

Due to client's disability and behaviors none of the clients in care wear 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 staff Evelyn Abrea. A copy of the report was provided.