Facility Evaluation Report

On 6/21/2022 starting at 12:45 p.m., Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct Infection Control Inspection. LPA met with Client Services Manager, Amelia Berumen and disclosed the purpose of the visit.

During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, common areas, and kitchen. There is one central entry point for universal screening for staff and participants. Facility has sufficient PPE supply. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for staff and participants.

THE FOLLOWING DEFICIENCIES WERE OBSERVED:

· Approximately at 1:05 p.m., a bottle of Advil and a bottle of Tylenol were observed in the unlocked cabinet located in the common area. Client Services Manager removed 2 bottles of medication to the office and locked them up during visit.

· Approximately at 1:15 p.m., unlocked knives and cleaning solutions were observed in the kitchen. Client Services Manager moved all knives to a locked cabinet under the sink and locked them up during inspection.

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

Exit interview conducted with Client Services Manager. LIC809D, Appeal Rights and a copy of this report provided.