Facility Evaluation Report
At approximately 2:00 p.m. on 05/24/2022 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual continuation visit. LPA met with Administrator and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out.
The facility was last visited on 05/18/2022 for an attempted annual visit. It is a single story building with 5 bedrooms, 3 bathrooms, kitchen, garage, office, common areas, and outdoor areas. It has an approved fire clearance for 4 ambulatory clients.
Entry: Upon entry, LPA observed signs hung on the front door for the facility’s masking and visitation policies. A secure handrail was located near the front steps. Screening: LPA was screened for infectious disease upon entry. The screening station contained surgical masks, N95 respirators, hand sanitizer, sanitizing wipes, gloves, a digital thermometer, and a visitor log. Screening procedures were posted at the front entrance. LPA observed a visitor log with contact tracing information, temperatures, a screening questionnaire, and symptom and vaccination checks. LPA also observed documentation of client and staff screenings and a facility cleaning log. LPA observed staff screen clients upon entry.
Bedrooms: The facility has 5 bedrooms. All bedrooms are private, and one bedroom is designated for staff. The staff bedroom was sanitary and free of hazards. A storage closet in the staff bedroom contained emergency supplies, first aid kits, and extra linens. All bedrooms contained a nightstand, lamp, storage, and bed with adequate bedding. All furnishings were clean and in good condition. The door in Bedroom #4 which led to the garage was locked.
Bathrooms: The facility has 3 bathrooms. All bathrooms contained liquid soap, paper towels, handwashing instruction sign, and a trash can with a tight fitting lid. LPA observed visual aides, grab bars, and a non-skid mat in the large bathroom. At 2:24 p.m. LPA measured the water temperature in the large bathroom to be 107.7 degrees Fahrenheit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction