Facility Evaluation Report

On 8/16/2021 at 3:35PM, Licensing Program Analysts (LPAs) G. Luk and G. Clark arrived unannounced to conduct an Infection Control Inspection. LPAs met with Administrator, Rondie Waugh and explained the purpose of the visit.

Upon arrival, LPAs temperatures were checked. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, living room, and outdoor areas. LPAs observed sign & symptoms, cough etiquette, and social distancing were posted in the common areas. Hand washing posters were posted at bathrooms and sinks.

During record review, LPAs observed visitor logs and temperature logs for both clients and staff. LPAs observed facility has a copy of Mitigation Plan on file. LPAs observed PPEs, food, and paper supplies are sufficient.

The following deficiencies were observed during the visit:

-At 4:00PM, LPAs observed food supplies were stored with cleaning supplies. Administrator removed cleaning supplies and stored them separate from food supplies.

-At 4:10PM, LPAs observed facility did not have a carbon monoxide detector in common area.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies may result in Civil Penalties.

Exit interview conducted. A copy of this report and appeal rights provided.