Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was welcome by staff Sophia Albarico who contacted administrator. Administrator Joe Albero wasn't able to come for this visit. Clients were present at the facility. There are activities planned for clients during the day if they want to participate since day program is closed at this time.

LPA arrived at the facility and had her temperature checked to be logged into notebook. During facility tour on 3/1/2022 with administrator Wilson Benoit 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 04/2021 at the time of the visit. Carbon monoxide detector and Smoke detectors test 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 under the kitchen sink. 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. However, LPA observed and learned that facility has a folding bed in clients’ room (see picture) for staff to sleep. Client C1 has a history of seizures. Department reviewed records and wasn’t able to find and doctor’s notes regarding plan for client’s seizure supervision. Per Title 22 Regulations facility is not allowed to have a staff sleeping in the same accommodations as a client. (see documentation, pic, confidential name list, LIC 809-D) Facility hot water temperature in clients' bathroom faucet measured between 111.5 degrees F and 112.6 degrees F in 2 out of 2 faucet within Title 22 acceptable regulations of 105 to 120 degrees F. Disaster Drills have been conducted monthly with the last one being conducted on 2/10/2022.