Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual inspection. LPA met with Facility Manager Hilda Villegas, who allowed LPA to enter the facility. LPA temperature was checked and COVID screening was conducted. LPA was informed, that the facility has (2) positive clients who were isolating in there rooms. LPA observed COVID signs posted at the front door, and inside the facility. Once it was acknowledged that there were COVID clients, LPA did a brief walk through and continued the visit outside the facility in the back yard. Licensee Jason Smith arrived, and LPA continued to the inspection.

LPA observed the living and dining, and kitchen area. The remaining of inspection was conducted with the Licensee. There are currently (4) clients. There are (4) private rooms, and (2) bathrooms. There were (2) staff on duty with proper COVID masks. Staff clean the facility several times a day, and temperature checks are conducted and documented every shift. Due to the positive cases, they will check temperatures more frequently during the day. COVID screening questions are in place.

All (4) clients and (8) staff are vaccinated and have received the booster. Any new staff that are hired, the requirement is to have proof of vaccination. They continue to follow Public Health guidelines, and there is a sick leave policy in place. Facility continues to weekly COVID test staff and clients. Licensee reported the facility receives departmental emails and forwards them to managers, who conduct weekly training with staff. Currently, the facility has sufficient staff, and has back-up staff in place if needed. LPA was informed the mitigation and infection control plan was submitted and approved.

PPE supplies are delivered weekly and Regional Center, also provides extra supplies when needed.