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 staff Eric Andrews. Rob Robinson – Program Director Residential Services spoke with LPA on the phone. There were no clients present at the facility.

LPA arrived at the facility and had her temperature checked and logged into visitor’s binder. During facility tour on 2/4/2022 with staff Eric 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 02/2021 at the time of the visit. Carbon monoxide detector was operational during visit. Sample test of Smoke detectors was conducted and were operational during this 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 the garage and kitchen cabinet. 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. Facility hot water temperature in clients' bathroom faucets measured between 114.2 degrees F and 114.8 degrees F in 2 out of 2 faucets within Title 22 acceptable regulations of 105 to 120 degrees F.

Facility has submitted a mitigation program plan that has been approved. Some posters have been placed at facility, small table with hand sanitizer and other items designated for visitors are at entrance. Staff before coming into work has temperature checked. Facility has PPE supply stored in office room. There has been new staff hired and no new clients since COVID-19. Clients’ medications are stored and locked in medication cabinet inside office room. (Continue LIC 809-C)