Facility Evaluation Report

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to the facility to conduct an annual inspection with an emphasis on infection control. LPA met with Caregivers Lolita Galang, and Mikko Galang (S1) and explained the purpose of the visit. Present in the home during time of visit was three (3) staff as well as five (5) residents. Administrator Ellen Amante arrived while conducting the tour. There are currently no cases of COVID-19 within the facility.

During today's visit, LPA toured the facility and made observations pertaining to the facility's infection control measures. LPA observed proper signage throughout the facility, sufficient hand hygiene supplies, and sufficient cleaning and disinfecting provisions. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the proper use and disposal of PPE and overall infection control. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and residents for COVID-19, when and how to isolate/quarantine residents, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and to notify all emergency agencies in the event of any COVID-19 related and/or suspected illness.

During the visit, LPA noted the room of Resident 1 (R1) to have a torn mattress cover in several places, and a locked closet containing R1's clothing. S1 stated that the locked closet was to prevent R1 from throwing their clothes around the room. Thus, 2 deficiencies were cited per Title 22, Division 6, of the California Code or Regulations. An exit interview was conducted and a copy of this report was provided along with copies of the LIC811, LIC809-D, and Appeal Rights.