Facility Evaluation Report

Licensing Program Analyst (LPA), Angela Elliott arrived unannounced to conduct an Annual inspection at approximately 9:20 AM, and met with administrator Rose Salgado. The inspection is focused on the Infection Control procedures and practices of this facility.

Posting on the door indicated "No Visitors." LPA explained to Licensee residents have a right to have visitors. Upon entry LPA was greeted by staff without masks. LPA was not screened before entering. LPA provided guidance to be diligent about routine symptoms screening and documentation. LPA was shown client and staff temperature records last dated 8/9/2021. There is no screening questionnaire as part of the screening

process. LPA conducted walk through of the facility with Licensee and observed COVID-19 postings. Hand washing sign were posted in the restrooms. Mitigation plan has been submitted and approved by Community Care Licensing (CCL).

Facility was a comfortable temperature and exits were free from obstructions. While touring facility LPA and Licensee heard a smoke alarm that was beeping. 2 out of 6 smoke detectors were not functioning due to not functioning. LPA requested to see Latest Fire Inspection Report for the facility. Licensee could no produce

report. Fire Extinguisher was last inspected 6/13/2019. Hand sanitizer is kept in common areas. Licensee

indicated if visitors were to come in they would visit in the second living room or client bedroom. Visits are

primarily outdoor. Licensee indicated visitors don't want to come into the facility. Licensee reported they have

two Independent Living residents that access the community and one client that goes to a day program once a

week starting tomorrow. LPA and Licensee discussed the need to have screening procedures when clients return from the community. Licensee and LPA discussed all residents at the facility fall under Title 22 regulations and Provider Information Notice (PIN) guidance from Community Care Licensing (CCL). Licensee reported

staff have completed Personal Protective Equipment (PPE) and infection control training but did not have training documentation. Licensee indicated staff have not been N-95 fit tested. Licensee indicated she would go to her house and get the training records. When Licensee returned there were no training records

available. Meals are occurring at the dining table and the facility layout provides room for social distancing.