Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez made unannounced visit for annual inspection. LPA was met by care giver Janet Santiano and Administrator Dina Alger arrived a short time later. Burbank Hills Residential Care Facility is licensed to serve a total of six nonambulatory, one of which can be bedridden. The purpose for this visit is to conduct the required 1 Year Inspection focusing on infection control and discussed with administrator. LPA and administrator toured/inspected the entire facility inside and out. This is a single story home consisting of: three (3) shared resident bedrooms, two (2) bathrooms, living room, kitchen, dining room, office, laundry room, outside covered area.

· COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept.

· Infection control signs and other COVID-19 signs are posted at the facility in the bathrooms, kitchen, and hallway to promote handwashing, cough/sneeze etiquette, and physical distancing.

· Facility has one designated isolation room.

· 3 client rooms, common areas, bathrooms, and outdoor physical plant was inspected.

· All client rooms were equipped with alcohol-based hand sanitizer.

· Five (5) centrally stored client medication records were reviewed.

· Staff responsible for direct care and supervision were observed wearing masks.

· Clients were not observed wearing masks but adhering to public health social distance guidelines.

Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.

A posted Emergency Disaster Plan was not observed at facility.

· Staff and resident files were not reviewed during today's visit.

· Deficiencies cited per Title 22 Health and safety code, See 809D for details.

· Exit interview was conducted with Administrator Dina Alger. A copy of the report was provided.