Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia visited the facility to conduct an annual required licensing inspection. LPA Correia was greeted by Front Receptionist Claudia Garcia, and met with Program Director (PD) Vanisha Garcia, Human Resource Director (HSD) Mariana Torres, and Program Supervisor (PS) Julie Turner.

LPA, accompanied by facility staff, conducted an overall tour of the facility. The inspection included, but was not limited to, verifying compliance with statutes, regulations and other requirements that are most relevant to protecting the health of clients in care and staff, including in the area of infection control practices.

LPA reviewed current Community Care Licensing (CCL) guidance to incorporate in the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) with PD Garcia including but not limited to the following sections: staff vaccination requirements and staff and consumer vaccination tracking, and visitation guidelines. LPA reviewed the strategies that the facility is employing for the prevention, containment and mitigation of COVID-19, implementation of infection control guidance, ability to quarantine or isolate if necessary and essential health and safety.

LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, clients and visitors; a sign-in policy; signs posted throughout the facility to promote infection control including but not limited to hand hygiene and cough/sneeze etiquette face coverings worn by staff and as much as possible, the clients; hand sanitizer/hand washing stations readily available; emergency agencies’ contact information posted in a location visible to staff and clients; and an adequate supply of PPE. The facility is in compliance with and has implemented infection control practices as outlined in its LIC 808.