Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived to conduct an Annual Required inspection and met with Administrator, Mary Clein. Starting in December 2021, the facility had a re-entry plan for in-person classes. However, due to Covid19 guidelines they did not proceed with the reopening plan.

The program is not open for in-person classes, there are 16 participants that are receiving alternative services through online activities and staff drop off activity packages including arts and crafts supplies for participants in average once a week. LPA arrived at the facility and had their temperature checked and logged. Facility has a centralized sign-in sheet located at loading area where facility documents staff, visitors and eventually participants daily screening. All staff are completely vaccinated. Facility will provide transportation services by R&D that will ensure to follow current guideline and If a participant is exhibiting symptoms, they are to stay home and notify the facility. The facility also will screen participants at facility entrance. Staff was observed wearing a mask while in the facility. All staff have received required training on infection control yet and were fit tested for N95. Regular maintenance plan includes sanitize every two hours or as needed. Facility has automated dispensers to dispense hand sanitizer. Per Administrator, there are sufficient personal protective equipment for staff and participants. Facility has submitted their Mitigation Plan and was approved as of 2/8/2021. Currently, there is 100% rate of vaccinated staff and boosted. Facility has posters that are posted through the facility encouraging participants to wear a mask and maintain social distancing. Facility has sufficient personal protective equipment for staff and participants including face shields, gloves, hand sanitizer and masks. Facility has submitted their Mitigation Plan and it was approved as of 4/13/21. Administrator agreed to notify CCL before re-opening for in-person classes.

During today's visit, Administrator provided the following documents: Designation of Responsibility (LIC308), Emergency Disaster Plan (LIC610E), Lease agreement and Personnel Report (LIC500).

No deficiencies were cited during today's inspection.