Facility Evaluation Report, 05/10/2022

On today's date, Licensing Program Analyst (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required Annual Inspection. LPA Quiroz was greeted and granted entry into the facility by House Manager (HM) Susan Gonzales. LPA Rosie Quiroz explained the nature of the visit.(HM) Gonzales indicated COVID-19 screening all incoming visitors prior to entering the facility.

On or about 9:19am, LPA Rosie Quiroz reviewed 5 of 5 clients records. On or about 10:02am, LPA Quiroz along with (HM) Gonzales began the tour of the inside and outside of the facility. There are five clients in care and there are no active COVID-19 cases in the facility. LPA Quiroz observed one of five residents in living room area interacting with (HM) Gonzales and LPA Quiroz and 3 of five residents in their bedrooms resting. (HM) Gonzales indicated Client 3 is currently at day program. Four of five clients present at the facility during today's visit appeared to be clean and well taken care of. LPA Quiroz observed a COVID-19 check in station in the entry of the facility; LPA Quiroz observed required department COVID-19 precautionary postings in the facility as well as hand washing signs throughout the facility.

All restrooms observed to have a supply of soap, appeared to be clean and water temperatures were recorded to be within normal ranges. LPA Quiroz inspected client’s bedrooms and appeared to be clean. All bedrooms observed to have all required components. LPA Quiroz observed the emergency and disaster and evacuation plan. Facility has a supply of emergency food, water and PPE in living room area readily available for staff and clients. LPA Quiroz toured the outside of the facility and observed seating and shaded area for clients and visitor's enjoyment. LPA Quiroz observed locked and secured swimming pool.

The facility has completed the LIC 808 Mitigation Plan. The LIC 808 plan was received by the Department on June 16, 2021. During today's visit, LPA Quiroz reviewed and approved LIC 808 Mitigation Plan dated June 14,2021. LPA Quiroz was informed that all clients have had their COVID-19 vaccinations and Boosters and will be speaking to Families to consent and schedule second booster. Facility is recording client's temperatures daily.