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 inspection, with an emphasis on Infection Control due to the COVID-19 pandemic. LPA Martinez was granted entry into the facility by Behavioral Health Technician (BHT) Minli Flynn. Clinical Care Supervisor Emerson Groom arrived shortly after and reason for the visit was explained. BHT Flynn confirmed there are currently no cases or exposures of COVID-19 within the facility.

Currently there are 4 Clients living at the facility. There is no screening station at the entrance of the facility. There is a sign-in procedure in place and hand sanitizer for use that is kept in the medication room on the second floor. LPA was screened. LPA observed staff were wearing face masks. LPA conducted a tour of the facility and made observations pertaining to the facility's Infection Control measures. LPA did not observe the required Department posting on COVID-19 precautions at entrance of facility and/or throughout the facility. LPA toured client rooms, all rooms were within regulations. Restrooms observed contained hand washing soap, toilet paper and paper towels. The proper hand washing signs were posted in the restrooms. Facility has operating smoke and carbon monoxide detectors. Facility's Fire Extinguisher was charged. 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 medication is stored in a Medication Room on the second floor.

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 facility Representative and a copy will be emailed.