Facility Evaluation Report

On 02/22/2023 at 11:35 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an Infection Control Inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. The Administrator, Joann Barradas, was telephoned by the staff member and arrived 10 minutes later.

Facility has a COVID-19 Infection Control Plan on file. LPA requested a staff and resident roster. LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, masks, gloves, gown, COVID-19 signage, and a sign-in log. LPA toured the facility including, but not limited to common areas, bathroom, kitchen, storage area and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and covered garbage cans. There is a surplus of PPE stored in a bin and centrally located inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 111 degree Fahrenheit (F) and the facility's temperature was 70 degree (F). Fire extinguisher was observed full and last inspected on 11/18/2022. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete.

The following forms are to be updated and submitted to CCLD:

-LIC308 Designation of Administrative Responsibility

-LIC610 Emergency Disaster Plan - change date 2023

-An updated copy of Administrator Certificate(s)

Exit interview conducted and a copy of this report provided.