Routine inspection·October 7, 2021

On 10/07/21 Licensing Program Analyst (LPA) Jade Jordan initiated an unannounced visit, to conduct an annual inspection, with emphasis on infection control. LPA Jordan contacted Administrator Josefina Guiao, and the purpose of the visit was explained. LPA was met by Facility DSP staff Czarina Dorotan. Upon Entry LPA observed Required Positing in regards to Covid 19, on the exterior of the facility, as well as the interior. The facility has followed their mitigation plan, and the facility was prepared with Sanitizer, Surgical Masks, gloves, visitor/staff/ resident symptom screening logs and Thermometer. A minimum of 30 Day supply of Full PPE was Available. The Facility is a one story family home, the inside physical plant consists of four (4) bedrooms , two (2) bathrooms, living/dining, kitchen and back house unit, used as a staff office. Bedrooms: The facility has four (4) bedrooms for Clients. Each room include (1) full size bed, (1) chair, dressers ,lamps, and closet space for all Clients. All bedrooms are equipped with a ceiling light. All rooms had closets for ample storage. Linens & Hygiene Supplies: Beds have the required linen/supplies which include, pillowcase, fitted sheet, blanket and bedspreads. Adequate supply of linen stored in hallway near the kitchen. Appliances: Stove burners, oven, microwave, washer, and dryer are working. Upon initial entry LPA observed Pad Lock on outside gate, during Physical Plant Tour LPA observed a dead bolt lock on client bedroom. LPA advised this is not within compliance citations will be issued for the following area. An exit interview was conducted and copy of this report was provided.