Facility Evaluation Report

Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced Required 1 -Year Visit. LPA identified herself and was allowed entry to the facility by Jodie Espinoza, Direct Support Professional (DSP) House Manager. LPA discussed purpose of the visit with DSP House Manager.

LPA conducted a tour of the facility with DSP House Manager. In accordance with the Department’s Infection Control program, LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan (LIC 808).

LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff and visitors; A sign-in policy enacted for all visitors; Face coverings worn by staff; Hand sanitizer/hand washing stations readily available; A designated visitation area; Emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE (Personal Protective Equipment). Based on observations, the facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were observed during today's visit.

An exit interview was conducted with Jodie Espinoza, Direct Support Professional (DSP) House Manager, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 01/16) were provided.