Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct a Required 1-year Infection Control Inspection of the facility. LPA was welcomed by Natasha Annekova, Administrator. There are 31 clients enrolled in the program. The program has 20 clients & 6 staff working at the time of the visit. LPA is also looking into a self reported incident dated 11/30/2022 received in by Community Care Licensing (CCL) on 12/05/2022.

LPA toured the facility at 9:30 AM with Administrator Natasha Annekova; facility was found to be clean and at a comfortable temperature. LPA toured building and grounds, day activity rooms, kitchen, and bathrooms. Fire extinguishers are sufficiently charged although last inspection dated was February 19, 2021. Maintance of buildings (although this program only uses a portion of the building) has scheduled inspection of extinguishers and LPA has given TA. Smoke detectors and carbine monoxide detectors were tested and in working condition. Motor vehicles used to transport clients at the facility are inspected to ensure safe operating condition by transportation coordinator. Hazardous toxins were locked and stored properly in hallway closet. Bathrooms were all equipped with wall mounted soap dispensers and individual paper towels. Knives and metal utensils were locked in the office at the time of the inspection. There is a sufficient supply of sanitary products on hand. Hot water temperature measured 113.5 degrees F. and 120 degrees F. within Title 22 acceptable regulation of 105 to 120 degrees F in bathrooms. Clients provide their own snacks and lunches, but the program will supply food for special occasions. There is one large refrigerator available for client and staff food storage. Facility doesn’t administer medications or handle clients’ money. Facility has weekly outings of horseback riding, and volunteers work at Marin Headlands and the nursery weekly as well offers music and art classes at the program weekly.

Facility has submitted a mitigation program plan and Infection Control Plan. Posters have been placed at facility. Facility has PPE supply stored in closet in staff office with emergency supplies. Staff had all PPE training required on file as well have been N95 Fit Tested.