Facility Evaluation Report

Licensing Program Analyst (LPA) Deborah Mullen made a visit to the facility to conduct an annual inspection with an emphasis on infection control. The LPA, met by Licensee, Damon Duclayan. Currently there are no clients in placement, however the facility is approved for 4 residents.

During today's visit, the LPA inspection the facility and made observations pertaining to the facility's infection control measures. The LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions and sufficient PPE supplies. 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 supplies and overall infection control. The facility has not submitted a Mitigation Plan, but will submit it to the Department by October 8, 2021.

Based on the observations made during today’s visit, no 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 reviewed with and provided to Mr. Duclayan.