Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Administrator Antyon Liggins. Some clients were present at the facility. There are 2 clients at the facility with a one on one, 1 client that refuses to go to day program, and 3 clients that are at day program. Facility have activities planned for clients during the day if they want to participate.

LPA arrived at the facility and had her temperature checked and logged into visitor’s binder. During facility tour on 12/30/2021 with administrator Antyon Liggins facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Sample of client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 07/2021 at the time of the visit. Sample test of Smoke & Carbon monoxide detectors were operational during visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet inside kitchen. Dangerous items were stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. Client’s bedrooms that were inspected had lighting & appropriate furnishings; mattress pads are available for clients at the facility. Disaster Drills have been conducted monthly with the last one being conducted on 12/21/2021.

Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility, small table with hand sanitizer and other items designated for visitors and staff are at entrance. Staff before coming into work has temperature checked. Facility has a PPE supply stored in office, garage, and entrance draw cabinet. There has been no new staff hired and no new clients admitted since COVID-19. Clients’ medications are locked on medication cabinet by kitchen. Facility has a 30-day supply of medication for clients. Clients are sometimes wearing masks inside the facility, however; staff stated that they are able to wear masks when going on outings. All staff had masks on during this visit. In addition, facility has a designated area for visitors which are being allowed. Clients have also available zoom and telephone calls when contacting with family members and others. Staff have had all PPE training required on file and has acquired N-95 fit testing.

There were no deficiencies cited at this time.