Facility Evaluation Report

Licensing Program Analyst, (LPA) Katrina Walters arrived at the facility unannounced for the purpose of conducting a required -1 year annual visit. Upon arriving at the facility LPA rang the doorbell and knocked on the door multiple times. LPA did not observe staff in the backyard and staff did not come to the front door. LPA called the facility phone number, and left a VM. LPA spoke with Licensee, Leslie Ann Pascua (LP) at 1:17 PM. LP confirmed there was a client in the facility. LP stated that a staff is present at the facility with client. LPA requested that staff open the door to allow LPA to enter the facility. LP stated they would call staff, and return LPA's call. LP called LPA again at 1:22 PM and confirmed staff left the client by themselves. LP arrived at the facility at 1:32 and granted LPA access into the facility.

LPA toured the buildings and grounds starting at 1:40 pm and the facility was found to be clean and in good repair. The facility exits and walkways were found to be unobstructed. Fire extinguisher was last serviced 8/26/22. Carbon and Smoke detectors were tested and appeared to be operational. LPA observed the client bathroom and kitchen was sanitary and in good repair. Perishable and non-perishable foods met the required minimum with a 7 day supply of non-perishable foods. Medications were centrally stored and locked.

The facility has submitted an infection control plan that was approved by community care licensing. Facility has designated an area for visitors to sign in and have their temperature taken prior to entering the facility. Signs are posted at the entrance and throughout the facility to promote droplet precaution. LPA observed that the facility has at least a 30 day supply of gloves and disposable mask. In addition, LP will gather disposable gowns in the event of an outbreak.