Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to the facility for the purpose of conducting a Required - 1 Year Annual inspection, with an emphasis on Infection Control due to the COVID-19 pandemic. LPA Martinez met with House Manager Carrie Wicke and reason for the visit was explained. House Manager Wicke confirmed there are currently no cases or exposures of COVID-19 within the facility. LPA was screened upon entry into the facility.

LPA observed the required Department posting on COVID-19 precautions at entrance of facility. There is a sign-in procedure in place and hand sanitizer for use. LPA observed that staff were wearing face masks. LPA observed 4 clients waiting to be picked up for program. The facility has an approved Mitigation Plan on file with CCLD. Five clients are cared for at the facility. LPA conducted a tour of the facility and made observations pertaining to the facility's Infection Control measures. LPA toured all client rooms, all rooms were within regulations. All restrooms observed contained hand washing soap, toilet paper and paper towels and had the proper hand washing signs posted. Facility has operating smoke and carbon monoxide detectors. Facility has Fire Extinguisher was charged. LPA observed a copy of Administrators Certificate which expires on 11/02/2023. The facility was equipped with sufficient hand hygiene supplies, cleaning and disinfecting provisions. Personal Protective Equipment (PPE) supply is available. The facility monitors the clients regularly for any COVID-19 symptoms/change of condition and documents. Facility has required Emergency Disaster Plan posted, and a secured location for client's medication and files. Facility has 30 days supply of medications for the clients. LPA reviewed client files. Client IPP's, emergency contact information and Physicians reports are current.

Based on observations made during today’s inspection, no deficiencies are being cited per Title 22, Division 6, of the California Code of Regulations. LPA reviewed this report with Administrators and a copy will be emailed.