Facility Evaluation Report

At 12:00pm on 07/07/2022, Licensing Program Analyst (LPA) Jeffries arrived at the facility to conduct and unannounced annual infection control inspection. LPA asked direct care staff to call house administrator Edward Maldonado to come the facility for the infection control inspection. Mr. Maldonado arrived shortly after (12:18pm).

This facility is 4 bedroom, 2 bath room, living room kitchen, with garage that is used as a laundry area, extra food storage area, PPE storage, linin storage and emergency water storage. There is a back yard for clients to be outside and a covered area for shade. LPA observed ample amount of PPE in the garage storage area. Provider Information Notices are easily accessible and presented to LPA upon request during inspection process. LPA and Administrator took a cursory tour of the facility. LPA observed 7 days of perishable and 2 days of non-perishable foods. LPA did not observe and hazards during the tour that would place the clients in care in any danger at the time of the walk through. .

LPA and Administrator conducted the infection control module and did not occur any deficiencies during the module.

Exit interview, report signed and copy emailed.