Facility Evaluation Report

On 10/27/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self and stated the purpose of the visit. LPA was greeted by Bridgida Sengsiri, Administrator and granted entry. Three clients were present during the inspection. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point.

Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed COVID-19 and cough etiquette postings in facility.

LPA checked clients’ locked medications and observed a 30-day PPE supplies. Food supply was checked and appeared to be an adequate supply. LPA observed fire extinguisher served date: 11/16/21. Last fired drill 08/12/22. Chemicals, gardening tools, and cleaning supplies were stored and unlocked in the garage.

All clients’ room toured and observed to be adequately furnished and lit. LPA observed 4 bedrooms that are single occupant and one shared client’s bed to be at least 6 feet apart. All bathrooms observed trash bin with lid. LPA observed hand washing posting by all sinks. The exterior tour was conducted. Side gate was self-closing and free of debris. Staff records were reviewed for good health and infection control training. All clients’ records reviewed to have updated emergency contact information.

A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 11/2/22. The following updated forms were requested: Lic 308, Lic 400, Lic 402, Lic 500, Lic 610D and Lic 9282. LPA received copies of current Administrator certificate and control of property during facility inspection. A copy of this report and appeal rights was provided to Administrator.