Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and was greeted by client (C1). LPA was informed by C1 that staff S1 had left the facility and was not sure if any other staff was present. LPA contacted Administrator, Rose Salgado and LPA was informed that staff (S2) was in the facility. LPA asked C1 to check for staff S2 and LPA found that S2 had been asleep with all clients unattended. LPA interviewed S2 and S2 admitted to have been sleeping while clients were found both inside and out of the facility with no supervision. The facility currently provides care for client (10) clients 7 of which were present and 3 of which were out in the community at the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Administrator and facility staff; facility was found to be clean and at a comfortable temperature. LPA observed a large wooden board covering the emergency exit along the facility side yard which serves as a fire hazard. The wooden board was immediately removed by the Administrator. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 2/16/2021 at the time of the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were not stored properly as per regulations on this day at the time of the visit. Multiple leftover food items in containers were not labeled by date. Bleach powder cleaning supply was found unsecured under the kitchen sink and was immediately removed. There was a supply of hygiene products and paper products available for clients. All client’s bedrooms have lighting & appropriate furnishings. Hot water measured between 109.2 and 109.4 degrees F which is within Title 22 regulations of 105 to 120 degrees F in faucets used by clients. All staff have updated 1st Aid & CPR Training on file.