Facility Evaluation Report

On 9/1/2022 at around 10:10 AM, Licensing Program Analyst (LPA) L. Ibo conducted an infection control annual inspection and explained the purpose of the visit with S2. LPA called Ciara Vasquez Program Coordinator and informed her the purpose of the visit. At around 11:00AM, Ciara Vasquez arrived at the facility. The facility has an office, staff room, two restrooms, a large activity room, a separate smaller activity area, a rest area, 3 changing rooms, a kitchenette area (clients bring their lunch and snacks), and a sensory room. The facility is equipped with adequate furnishings and equipment to meet client's needs. Medications are kept inaccessible to clients. The facility is equipped with fire extinguishers, smoke and carbon monoxide detectors and complete first aid kit. Pathways were observed to be free of obstruction and fire hazards.

Infection control designated leader is Ciara Vasquez. Facility is using online system to conduct Covid19 screening for staffs, clients and visitors.

· LPA observed that food storage (fridge) for the clients is stained with food particles

· Facility needs trash bin with lid at the staff room – technical assistance provided. S1 agreed to provide trash bin with lid for the staff.

· Facility do not have proof of covid19 training.

Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties.

Deficiencies and plan and proof of corrections were discussed with Ciara Vasquez.

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