Facility Evaluation Report

On 10-6-21 Licensing Program Analyst (LPA)s Tirzah Hubbard and Christina Valerio arrived unannounced to conduct a Required – 1 Year inspection. LPAs contacted the facility to ask follow up questions in regard to Covid-19. LPAs spoke with the Licensee and Manager Pamela Miranda to ask follow up questions for Covid-19 symptoms. LPAs proceeded to approach the facility to conduct the Annual after the facility was cleared. All required COVID measures were observed. LPAs observed S1 and Administrator wearing mask upon entry. S1 took the temperature of LPAs and asked Covid-19 screening questions. LPAs were allowed entry into the facility that is licensed to serve a total capacity of 30 clients. The physical plant was toured inside and outside to ensure the safety of the residents.

LPAs observed the facility conducts fire drills monthly. LPAs observed the thermostat temperature inside the facility hallway was measured at 76 *F which is within the required range of 68 degrees F (20 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat the maximum shall be 30 degrees F (16.6 degrees C) less than the outside temperature. The hot water was measured at 108 *F which is not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C) as per Title 22 regulations.

The first aid kit was found in compliance containing at least the following: a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, sterile first aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometers, and Antiseptic solution. LPAs observed a pull alarm system, fire extinguisher(s), smoke and carbon monoxide detectors, central heating and air in the facility.