Facility Evaluation Report

On 2/3/2023 at 12:00 PM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct an annual Infection Control Inspection. LPA met with Administrator, Nicholas Marcelo and explained the purpose of the visit.

During the Infection Control Inspection, LPA toured facility with Nicholas including but not limited to front entrance, hand washing stations, bedrooms, common areas, kitchen, and backyard . Facility has a sufficient two day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Common touched surfaces are disinfected at least once daily.

Bathrooms are equipped with liquid soap, paper towel and trash bins with touchless lids. Facility has a 30 day supply of PPEs maintained at central location and easily accessible for staff . Smoke and carbon monoxide detectors were observed and maintained . First Aid kit was complete . Fire extinguisher was observed serviced . LPA observed facility passages inside and out free of obstruction.

The following deficiency was observed during inspection:

-At approximately 12:30 PM LPA observed volunteer 1 (V1) was not associated to the facility nor fingerprint cleared.

The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties

Exit interview conducted and a copy of this report provided along with Appeal rights.