Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso , arrived to conduct a Required 1 Year inspection and met with Licensee/Administrator Joyce Kamau. This inspection is focused on the Infection Control procedures and practices of this facility.

The LPA was screened by the Administrator upon entry.Screenings are done for all visitors and staff, temperature is taken and screening questions are asked. All screenings are logged.

Facility has submitted the new Infection Control Plan as required by the Department. Administrator's certificate is active-expires 5/3/2023. Fire clearance is approved for six(6) ambulatory.

There are four (4) residents in care at the facility, one client was away visiting with family. Clients are screened daily, and observed for any changes, all information is logged.

Facility was found to be clean, orderly, and at a comfortable temperature for clients in care, and exits were free from obstruction. Fire extinguishers were serviced and tagged-expires 9/13/2022. Food supply was sufficient. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications are stored and locked making them inaccessible to clients in care. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Administrator had a mask on during the LPA's inspection.

The facility has new front of the house iron fencing and locking gate; The Administrator is submitting an updated sketch by 8/5/2022 as requested by the LPA. The Administrator will continue to ensure the gate is not locked, until gate is repaired, and it is fire cleared by the local fire department as required. Administrator will submit plan on the gate as discussed.

No deficiencies found in the areas inspected.

Exit interview conducted with the Administrator.