Facility Evaluation Report

Licensing Program Analysts (LPA) Alviso arrived to conduct a Required-1 Year inspection and met with Licensee/Administrator Jane Frye The inspection is focused on the Infection Control procedures and practices of this facility.

The Licensee/Administrator has submitted the Infection Control Plan as required. Fire clearance is approved for six (6) ambulatory. There are six (6) clients in care at the facility; One(1) client was home, and the other five(5) clients were out, some were at school, at day program, and others at work. Clients are screened daily, observed for any changes, and all information is logged. All visitors, and staff are screened before entry; Temperatures are taken, and screening questions are asked of all before being allowed into the facility. All screening information is logged as required. The LPA was screened before the Administrator allowed LPA entry into the facility. The screening was logged.

Fire extinguishers were current as required, serviced and tagged, 7/1/2022. Smoke alarms, are hard wired; The fire system's annual inspection check, completed by a professional service company, was completed and passed on 10/7/2021. There are additional smoke alarms throughout the facility as well as carbon monoxide detectors, approximately ten(10) of each, one in every room.

Food supply was sufficient, and the LPA had observed the Administrator arrive to the facility with additional groceries that had just been purchased for the facility. Facility was found to be clean, orderly, and at a comfortable temperature with exits free from obstruction. Toxins are stored in locked cabinets. Medications are locked up and inaccessible to clients in care. There was a sufficient supply of hygiene products, disinfectant cleaners, and paper products for use as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Appropriate PPE items are available for use by staff, clients, and visitors as needed and required. LPA observed the Administrator with a mask on upon Administrator's arrival to the facility and throughout the facility inspection.

No deficiencies found in the areas inspected.

Exit interview conducted with the Administrator.