Facility Evaluation Report
On 02/07/2023 Licensing Program Analysts (LPAs) David España, Licensing Program Analyst and LPA Antonine Richard, and Licensing Program Manager (LPM) Ulysses Coronel, conducted an unannounced annual inspection with focus on infection control and met with Wendy De Leon, Executive Director. The reason for today's visit was explained.
The facility is a single-story structure located in a commercial building located in a business area. LPA viewed client file were stored in a storage area. LPA observed parking lot (drop off/pick up area), Kitchen, 1 large activity room, 1 isolation room. 1 nurse room, 4 client restrooms, 2 staff restroom, conference room and offices. Water temperature taken in the client bathroom had reading of 117.8 degrees Fahrenheit. Facility walls and floors were in good condition, adequate lighting, fire extinguishers were properly charged. Plenty of storage space. The restrooms were clean and within Title 22 regulations. The kitchen was clean and refrigerators are available for client use. The day program does not provide lunch however, snacks are available to clients. Carbon Monoxide detector was observed and operable. The first aid kit was available; medications were locked and inaccessible to clients. Walkways throughout the day program were clear of hazards and all exits were clear of debris.
Deficiencies were observed and cited during today’s visit: During the visit, LPAs and LPM observed a storage cabinet of unknown 4 gallons of paint accessible to clients in care.
During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations (Located in common areas and restrooms). LPA observed staff and residents were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE).
LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Likening Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance.
Exit interview was conducted and plans of correction were developed. A copy of the report and appeals rights given to the supervisor.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction