Facility Evaluation Report

This is a copy of an annual visit report initially conducted and delivered to this facility on 08/25/2021 inadvertently keyed to the wrong facility number 361880929.

Licensing Program Analyst (LPA) Amy Goldenberg made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. There are two clients and one staff present at the time of this visit. LPA observed that face masks are being worn. LPA is informed that there are no COVID positive individuals in the home. Upon entry LPA was directed to a table with hand sanitizer, thermometer and visitation log and was asked to sign in.

LPA conducted a brief tour of the facility and made observations pertaining to the facility's infection control measures. The facility was equipped with sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and a supply of personal protective equipment (PPE). The facility continues to monitor client regularly for any changes in condition, and notify the client's physician and emergency personnel in the event the client presents any COVID-19 symptoms.

Based on observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. LPA