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 Hannah Peralta. Clients were present at the facility. There are activities planned for clients during the day if they want to participate and outings.

LPA arrived at the facility and had her temperature checked and logged into visitor’s binder. During facility tour on 3/10/2022 with administrator Hannah P. 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 10/2021 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 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. Facility hot water temperature in clients' bathroom faucets measured 117.5 degrees F in 1 out of 1 faucet within Title 22 acceptable regulations of 105 to 120 degrees F. Disaster Drills have been conducted quarterly and fire drills monthly with the last one being conducted on 3/3/2022.

Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility, container 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 the garage.