Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit to conduct the required annual inspection (mitigation). LPA was greeted and granted entry into the facility by Caregiver Rochell Adolphus and observed the screening station in the entrance of the facility. LPA completed the Coronavirus 2019 (COVID-19) screening procedures and stated the purpose of the visit. Administrator (AD) has an Administrator's Certificate that expired on 03/23/2022.

At 8:35 AM, LPA toured the facility with Caregiver Adolphus. The facility is a single level structure and licensed for 4 ambulatory clients. Facility has 4 out of 4 clients in care and all clients appeared well taken care of. All residents' rooms had the required elements as well as restrooms stocked with hand soap/sanitizer. Hand washing signs are posted in the restrooms as well as the required department COVID-19 precautionary postings around the facility. LPA observed antigen test kits, bath supplies, and the First Aid Kit that had the required items in the hallway closet. Facility had ample supply of PPE and cleaning solutions locked as well as emergency food and water in the garage. LPA toured the kitchen and observed ample food supply LPA toured the exterior of the facility and observed the outside visitation area with the required furnishings under sufficient shading. LPA observed a backyard shed used as storage containing cans of paint, termite/ant treatment, and personal belongings. The door handle to the shed was unlocked and broken. The left side gate was not self-latching and loose. Facility has a plan for COVID-19 testing residents and staff as well as a plan for isolation. Medications, cleaning supplies, and sharp items were inaccessible to residents in care. The fire extinguishers were mounted and charged.