Facility Evaluation Report

On 9/8/2022 at 11:50 AM, Licensing Program Analyst (LPA), L. Ibo arrived announced to conduct an infection control annual inspection. LPA met with S2; Administrator Christine Schwab arrived around 12:00 noon. Facility has census of 18.

LPA L. Ibo toured facility with S2. LPA inspected the facility inside including but not limited to, isolation room, common areas, computer area, and 2 bathrooms. There is a loft area on the back of the facility that is inaccessible to clients. Clients are using the back-door area to enter the facility. Covid19 screening are being conducted upon entrance but facility is not documenting covid19 symptoms or temperature. LPA provided technical assistance and discussed with Christine S. that all covid19 screening for staff, clients and visitors are needed to be documented. Facility is clean and in good repair. Smoke detector and carbon monoxide detector are interconnected to the building. First aid kit is complete. Clients bring their own lunch/snacks, but facility have available emergency snacks for clients in case that clients doesn’t bring their own food.

· S2 is not associated at the facility. Citation was cleared during the visit.

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 Christine Schwab, Administrator.

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