Facility Evaluation Report
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Francesca Cano and explained the reason for the visit. Administrator Annie Mai arrived during the visit. Administrator Annie Mai has an administrator certificate expiring on 02/04/2022.
At 10:35 AM, LPA toured the facility with Caregiver Cano. Facility has 2 clients in care during today's visit. LPA observed clients relaxing in the facility. All clients appeared happy and well taken care of. Facility appears clean and sanitary. All client rooms had the required elements as well as restrooms stocked with soap/ sanitizer. All rooms are currently single occupancy. Facility screens all visitors to the facility and LPA observed the screening station in the facility. Facility utilizes a visitor sign in sheet. Facility takes client temperatures daily and Administrator provided proof of documentation. Facility has covid precaution postings as well as all required department postings. LPA observed the first aid kit has all required items. Fire extinguishers are fully charged. Facility mitigation plan has been submitted and is pending approval. Facility emergency disaster plan is posted. LPA observed an ample supply of emergency food and water. LPA toured the outside grounds and observed the shaded outside visitation area. Exit gate is unlocked and self latching. Facility has two large gardening areas for clients. LPA observed the locked medication storage area. Facility has a plan for covid testing clients and staff as needed as well as a plan for isolation and quarantine. LPA reviewed three client files during the visit and all files contained updated emergency information. Most clients and staff are vaccinated for Covid-19. Facility conducts covid surveillance testing weekly for staff.
No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction