Facility Evaluation Report

On 8/17/2022 at 2:24 PM Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct an infection control annual inspection. LPA met with Administrator Armando Valadez & S1. Facility has census of 0. Facility under vendorization from regional center of east bay.

LPA toured the facility inside and out including but not limited to common areas, resident rooms, bathrooms, kitchen and backyard. No bodies of water. Facility has enough supplies of PPEs, paper supplies and hygiene supplies. No medications for residents during the visit but there is centrally stored in a locked area inside the facility.

Since facility do not have any clients for almost a year, facility has do not have 2-day perishable food and one-week non-perishable food supply, LPA advised Administrator that once facility have new clients, this regulation should be followed.

Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a mitigation plan and LPA requested copy of infection control plan by 8/26/2022.

Exit interview conducted. Copy of this report provided.