Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was welcome by program administrator Emily Swearengin. There were 15 clients present at the facility. Facility has different activities been offered through out of the day including outings and Zoom.

LPA toured the facility on 11/12/2021 with program administrator Emily S. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. LPA toured building and grounds, day activity rooms, kitchen, and restrooms. Smoke detectors and sprinklers system are hard wired – audible and visual alarms. Program Manager state that hard wired smoke detectors and sprinklers system were last inspected on 2021, however; facility will be submitting proof of test. Fire extinguishers are fully charged with last inspection on 09/2021. Clients most of the time uses their own transportation. Facility vans were not at the facility at the time of this visit. Toxins, chemicals and hazardous items were safely stored in a locked storage closet in the hallway. Bathrooms were all equipped with soap dispensers and individual paper towels. There is a sufficient supply of sanitary products on hand. Hot water temperature measured between 133.5 degrees F & 137.6 degrees F following out of Title 22 acceptable regulation of 105 to 120 degrees F in 2 out of 2 client's restroom faucets (see LIC 809-D). Clients provide their own snacks and lunches but program will supply food for special occasions. There is two refrigerators available for client & staff food. Facility handles P&I. Facility has PPE supply stored in the facility storage and administrator's office. Staff have had all PPE training required on file and facility still working towards acquiring N-95 fit testing for staff. In addition, LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Disaster Drills have been conducted monthly with the last dated 10/28/2021.