Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Administrator Patty Blas. Clients were not present at the facility due to participation in their day programs.

LPA arrived at the facility at approximately 9:10 AM and was screened at the door; information and screening questions are kept in a log. Staff and residents are also screened each day and kept in separate logs. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Kitchen area was locked due to clients all having PW. Fire Extinguisher was found to be serviced on 03/10/21 and was fully charged at the time of the visit. 5 Smoke Detectors & Carbon monoxide detector was found to be operational during 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 properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet inside the garage. Dangerous items were stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. All client’s bedrooms have lighting & appropriate furnishings.

Facility has submitted a mitigation program plan that was approved. Posters have been placed at entrance. A small table with hand sanitizer and other items designated for visitors will be placed at entrance/office table. There have been no visitors at facility at this time, but a visitation area has been set up in the back yard.

There were no deficiencies. No citations issued at this inspection.

Exit interview conducted with Administrator, Patty Blas.