Facility Evaluation Report

At approximately 11:53 AM on 01/31/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with Program Director and disclosed the reason for the visit. The visit was conducted using the Infection Control Domain of the Compliance and Regulatory Enforcement (CARE) Tools.

The facility has a Mitigation Plan which is approved by the Department.

The facility contains 8 shared bedrooms with a maximum capacity of 16.

At approximately 12:20 PM, LPA conducted the physical plant tour.

Outside Areas : LPA observed fresh painted walls outside with artistic designs. There was a basketball hoop and two recreation areas shaded by tents. The tents were secured by screws in the asphalt. Recreation areas contained chairs and benches for seating. A ramp with secure handrails on the north side of the facility led to a well-maintained courtyard with seven planter boxes. The courtyard served as the facility’s designated visitation area.

Entrance: LPA observed one main entrance with 3 signs on the front door related to COVID-19. One sign pertained to a masking requirement. Another sign from the LA County Department of Public Health indicated a limited visitation policy. The main entrance was locked from the outside but unlocked from the inside. Upon entry, LPA observed signs related to COVID-19 policies such as handwashing practices, cough etiquette, signs and symptoms, PPE donning and doffing, and testing requirements.

Screening: LPA was screened upon entry. LPA recorded temperature and symptom check in the visitor log. LPA also observed a screening log for employees. On the screening station, LPA observed 3 bottles of hand sanitizer, surgical masks, 2 digital thermometers, gowns, face shields, and cleaning wipes.