Facility Evaluation Report

Licensing Program Analyst (LPA) Lopez arrived unannounced to conduct a Post Licensing inspection on 8/27/21. LPA conducted risk assessment prior to visit. LPA was greeted by Administrator, Nina Ortiz.

LPA toured the facility and was found to be at a comfortable temperature with all exits free from obstruction. Client's bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were serviced and charged 11/19/2020. Facility smoke detectors and carbon monoxide were found to be functioning properly. Water temperature was tested and measured within regulation of 105-120 degree F. Staff have CPR training and 1st aid certifications. LPA verified that the facility’s medications are kept locked and inaccessible to clients. Toxins are stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. The bathroom designated for clients at the facility were supplied with individual paper towels; hand soap dispenser was available.

LPA went over Inspection Control with Nina Ortiz. Facility will send revised mitigation plan to LPA. Posters have been placed at entrance, and facility entrance area has a designated area to screen visitors, thermometer and other items designated for visitors and staff before coming into work. Facility has a 30-day supply of PPE. Facility has a 30-day supply of medication for clients. Facility has conducted staff training on infection control.

No deficiencies issued during today's inspection.