Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a required/annual inspection. LPA was greeted by staff Justin Rodriguez. LPA discussed the purpose of the inspection and was granted entry into the facility. LPA and staff Rodriguez conducted a tour of the inside and outside of the facility, common areas, kitchen, restrooms, kitchen and observed the following:

This is a single-story house with five bedrooms, and three bathrooms. During the inspection, LPA observed there was one staff present with one resident in physical care and three residents away on overnight visits with family. LPA observed no hand washing and/or cough etiquette signs, facility was also noted to have no Personal Protective Equipment (PPE); two Technical Advisories were given on this date. LPA observed hallways and walkways were free of obstruction.

LPA reviewed and confirmed facility policies and practices regarding resident screening, staff screening, COVID-19 surveillance testing, COVID-19 clearance testing, quarantine, isolation, cohorting, infection control training, PPE, staffing and staffing shortages.

Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.