Facility Evaluation Report

Sir Frances Ann Residential, San Leandro05/18/2022Licence 019200086

Capacity6
Census6
Date signed05/31/2022 06:02:58 PM
The inspector’s account

On 5/18/2/22 at 3:19pm, Licensing Program Analyst (LPA) C. Lin arrived at facility and learned that there was Covid-19 outbreak, all clients and staff were tested Covid-19 positive. LPA left facility.

On 5/31/22 at 5:05pm, LPA C. Lin arrived unannounced to conduct Infection Control Inspection. LPA met with staff Clarisse Takile and disclosed the purpose of the visit. LPA spoke with the Administrator on the phone who authorized staff to sign on the report.

During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette and hand washing posters were observed.

Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff, and visitors.

No deficiency cited during visit. Exit interview conducted with staff, and a copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction