Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. The LPA met with staff and explained the reason for the visit. Upon arrival, staff notified the LPA that five (5) out of six (6) clients went to their homes in observation of the Jewish holiday. There was one (1) client residing at the facility, whom left for day program. In addition, the facility was being painted at the time of the visit. The LPA toured the facility to ensure there are no health and safety hazards and to ensure regulatory compliance.

KITCHEN : Knives and chemicals are locked inaccessible. Appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : The client rooms were furnished appropriately; beds had with clean linens and rooms had sufficient lighting. RESTROOMS : Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 9:00 a.m., water temperature in a client restroom measured at 126.2 F, which is outside of the required range of 105-120 degrees F. Restrooms were fully stocked. Hand-washing signs were observed. COMMON SPACES : Fire extinguishers were fully charged, yet they were serviced 9/2021. The backyard had furniture and a covered area for resident use. The side gate door was self-latching. No bodies of water noted. The garage is attached, but was locked.

INFECTION CONTROL : There was a central entry point for screening and temperature checks. The LPA was appropriately screened upon entry. Infection Control signs were observed throughout the facility and additional ones would be posted upon completion of painting. Facility has a sufficient supply of PPE. The facility’s cleaning protocol is sufficient. There was record of staff and resident vaccinations. The LPA discussed changes around testing, visitation and vaccine requirements. The facility managed COVID-19 active cases and the facility complied with all requirements set forth by the local health department and licensing. The facility's procedures as it pertains to infection control are adequate.

The following deficiencies were observed (See LIC809-D) and cited from the California Code of Regulations, Title 22. Exit interview conducted. A copy of the report and appeal rights were provided.