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25 | Licensing Program Analyst(s) (LPA) Mary Flores conducted an unannounced annual visit to the facility with focus on infection control domain, food, and medication review. LPA Flores met with Maria Carlos Administrator and explained the reason for the visit.
The facility is licensed to serve 6 ambulatory developmentally disabled adults ages 18 thru 59 years old. Facility is located in a residential area, is a single home consisting of a living room, activity room, a kitchen/dining room, 3 shared client bedrooms, 2 client bathrooms, laundry area, garage area, and cover/sitting area backyard.
LPA conducted a tour of the facility with Maria Carlos Administrator and observed the following:
Living room has a cover fireplace. Activity area and dining room allowed for social distancing. Kitchen was observed and food supplies were observed for at least 2 days of perishables and 7 days of non-perishables. Cleaning supplies and sharps were observed locked in a kitchen cabinet. Medication cabinet was observed in the kitchen and was locked. All clients' bedrooms were observed to have sufficient lightning, furniture, and bedding supplies per regulations. Bathroom #1 and #2 were observed and water was tested as follow bathroom #1 tested at 111.1 degrees F and bathroom #2 tested at 118.3 degrees F., which is within the required 105 - 120 degrees F. LPA reviewed medication and files for 4 clients and 3 staff files. Facility was observed clean and in good condition. Administrator certificate # 6013547735 Expiration 6/18/22, renewal was submitted to the department. Fire extinguishers were observed one in the laundry room and one in the hallway. Smoke/carbon monoxide detectors are interlace and tested during the visit. Facility is currently conducting screening at entry point, has sufficient PPE supplies for at least 30 days, and maintains soap, and hand sanitizer available in bathrooms and bedrooms. Facility does not have signs posted around the facility with visitation guidelines, symptoms, preventive measures, and hand washing signs. Staff has not been fit tested for N95, and trash bins with closed lid were not observed.
Technical Advisories have been provided during this visit. Exit interview was conducted with Maria Carlos and a copy of this report was provided. |