Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived to conduct an unannounced annual 1-Yr Infection Control inspection of the Cedars of Marin Ross Campus. LPA toured the interior and exterior of the facility with Associate Director of Residential Services Stacy Anderson and Rob Robinson Director Residential Services.

At approximately 11:50 AM LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. The facility consists of three buildings divided into four halls. McIvor Hall and Collins Hall are in one building. McIvor and Collins Halls each house 6 clients. Peterson Hall has a total of 21 clients and administrative and medical offices. Pope hall has 15 clients. During today's inspection 9 staff are on shift and 5 clients present with the rest of the clients being at day programs.

The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. There is a sufficient supply of hygiene products and linens on hand for client use. Water temperature measured 105.2 to 119.1 degrees F throughout the buildings which is within regulation between 105 and 120 degrees F at faucets accessible to clients. Fire extinguishers inspected were charged and dated 1/25/2022. All buildings have functioning smoke detectors, carbon monoxide detectors, pull station fire alarms with audio/visual alarms and sprinklers. The fire alarms are tested by a contractor, Fire King Fire Protection, Inc, last inspection 10/26/2021. Fire drills are done monthly and are documented, last 3/9/2022. Each hall has a locked toxin/chemical storage closet, LPA observed toxins inaccessible to clients. LPA made observation in 10 client private rooms. Each hall has a locked medicine storage room where medications are centrally stored.