Facility Evaluation Report

On 8/11/2022 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with caregiver, Emerenciana and informed her the reason for the visit. Also present during the inspection was Regional Center of the East Bay, Quality Assurance Specialist. Administrator, Narciso Bernardo arrived about an hour later.

Upon entry, staff did not conduct screening for LPA. LPA observed hand sanitizer at screening station along with a notebook where visitor writes down their name. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, garage, and outdoor areas. LPA observed cough etiquette and signs & symptoms posted on bulletin board. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at bathrooms.

During record review, LPA observed visitors log and temperature log for clients. LPA observed facility has a copy of Mitigation Plan on file. LPA observed food supplies and paper supplies are sufficient.

During the facility outbreak, LPA L. Fontanilla observed staff was not wearing full PPEs and was only wearing N95 mask. S2 was wearing N95 mask over surgical mask.

At 9:25AM, LPA observed unlocked scissors and knives in the kitchen drawers. LPA also observed unlocked OTC medications, ointments, and vitamins in the dining cabinets. Staff locked up all the scissors, knives, OTC meds, ointments, and vitamins during inspection.

At 9:30AM, LPA observed medication cabinet was unlocked during inspection. Staff locked up cabinet during inspection. (Continue on LIC809C...)