Facility Evaluation Report, 10/27/2023 — Telecare Olive House, Sylmar CA

Licensing Program Analyst (LPA) Gary Tan conducted an Annual Required visit and inspection of this facility today and initially met with staff Harout Krboyan and Vanessa Cano and explained the reason for the visit. Interim Administrator Quisha Castro arrived later. At approximately 11:00 AM, a tour of the physical plant was done with the staff.

Infection Control: There is only one entrance being utilized at the facility, the front main entrance door. The two (2) side doors are for emergency only. There are required poster posted at the main door. Screening area is located immediately upon entrance in the reception area. All visitors/resident and staff are required to sign. There is also a sign in sheet, hand sanitizer, gloves and masks available. The facility had submitted and approved Mitigation plan and Infection plan.

There are hand sanitizers all over the facility. There are signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in common bathrooms, elevators and all over the common areas of the facility. The facility have multiple designated visitors' area in the front entrance. The facility has sufficient stock of PPE in the storage room.

The facility is fire cleared for sixteen (16) ambulatory residents. This is a short term crisis residential facility. There are fire extinguishers all over the facility and last inspected on 04/26/23. The facility is equipped with sprinkler system. The facility temperatures was set at 73.0°F. The smoke alarm are hard wired and interconnected and last tested on 05/23/23. Fire and sprinkler inspection was done on 05/23/23. There is a carbon monoxide installed in the facility. Fire drill was last done on 10/10/23.

Kitchen: The facility has a food waiver and food is being catered. The kitchen is only being utilized for heating food and emergency food storage. The kitchen appeared clean and the appliances and fixtures functional. (continued on LIC 809-C)