Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an annual Required-1 year inspection and met with Mahindra Rai, Licensee. The annual inspection is focused on the Infection Control procedures and practices of this Adult Residential Facility. There is currently 4 clients in care.

LPA toured facility and grounds with licensee and observed some COVID-19 precaution signs posted in common areas but had no posters in the bathroom regarding promoting/proper hand washing. Visitors are said to be screened for COVID-19 symptoms upon arrival to the facility. LPA was screened for temperature but there was no sign in sheet or Infection control questions asked. Facility Staff 2 of 2 were observed not wearing a mouth covering inside the facility or inside the van as they were going to go on an outing. The facility has a 30-day PPE supply. Facility to follow indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test. Facility states staff clean and disinfect the facility daily. Facility understands hand sanitizer should not be placed in the rooms of clients who lack hazard awareness and impulse control. LPA observed facility has been providing Covid masks for all clients for outing and have explained Covid-19 precautions and how to use hand sanitizer. Bathrooms are equipped with liquid soap and paper towels. Covid-19 Mitigation plan was reviewed by the department on 9/6/2021. Caregivers have completed PPE training but have not been N-95 Fit tested.

In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged and serviced on 1/17/2022.

LPA requested facility staff to get N95 fit tested

Exit interview conducted with Mahindra Rai.

No deficiencies cited during today's inspection