Facility Evaluation Report
On 10/30/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required 1 year inspection. LPA met with Licensee, Amy Cook, and explained the purpose of the visit. Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.
LPA and Licensee toured the interior of the facility to ensure health and safety of clients in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, and laundry room. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Licensee followed the infection control domain guidelines and facility was found to be in compliance at this time. LPA observed the facility to have ample supply of PPEs. LPA observed (1) client in his bedroom, watching the news. LPA was informed (4) clients are out of the community during the inspection. LPA observed the Administrator Certificate #6007832735 to be up to date with the expiration date of 12/08/2023.
Today's inspection, LPA obtained copies of the LIC 308, Surety Bond, and Management Agreement. LPA provided a copy of the LIC 309 for Licensee to complete and submit to LPA via fax or e-mail.
No deficiencies are being cited as a result of today's inspection.
Exit interview conducted and copy of report left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction