Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced annual inspection on September 24, 2021. LPA met with Program Coordinator (PC) Alicia Rivas, identified herself and explained the purpose of the visit. LPA also identified herself to the Interim Program Director Joanna Duncan who joined a portion of the inspection via teleconference.

LPA Correia, accompanied by PC Rivas, conducted a tour of the facility. During the visit there were no clients present at the facility. Services are being provided virtually and in-person but off-site the facility. Clients (no more that 1 or 2 at a time), come to the facility on occasion (implementing 6 ft social distancing) to utilize equipment, such as the printer, when needed. LPA observed universal entrance and COVID-19 screening protocols In accordance with the Department’s Infection Control guidance, LPA provided technical assistance, evaluated, and observed the facility's implementation of their mitigation plan to include disinfection, testing surveillance, supply of personal protective equipment (PPE), also the implementation of screening protocols prior to meeting the client off-site to provide service provision. The procedures include verifying compliance with statutes, regulations and other written requirements that are most relevant to protecting the health of residents in care and staff, including in the area of infection control practices.

Based on today's visit, there were no deficiencies observed at this time. An exit interview was conducted, Licensee's Rights (LIC 9058 01/16) along with a copy of this report was provided, via email, to Program Director Rivas, and Interim Director Duncan. An electronic read reply confirms receipt of the reports.