Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into the facility by caregiver and LPA explained the nature of the visit. LPA met with Enrique Manabat, House Manager and explained the nature of the visit.

LPA Martinez began the tour of the inside and outside of the facility. There are four clients in care and there are no active covid-19 cases in facility. LPA observed one client in their bedroom having online classes and remainder of clients were out in day programs. LPA observed required department postings, covid-19 precautionary postings in the facility as well as hand washing signs throughout the facility. Restroom was observed to have a supply of soap and appeared to be clean. LPA inspected client’s bedrooms and appeared to be clean and sanitary. All bedrooms observed to have all required components. Client bedrooms are all private bedrooms. LPA observed a check in station in the main entry of the facility. Facility is taking temperature daily and documenting the results. LPA observed the emergency disaster and evacuation plan. Facility has a supply of emergency food and water supply as well as PPE supplies in the facility. LPA toured the outside of the facility and observed a shaded seating area for client’s enjoyment. A gated pool was also observed in the backyard. The facility has completed the LIC808 Mitigation Plan, LPA reviewed and approved the plan on today’s visit. LPA emailed the signed and approved plan to the Administrator for their records.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with the facility representative and a copy of this report was provided to the facility.