Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Annual Inspection Visit. LPA Wallace explained the purpose of the visit with Program Director. LPA Wallace was screened for COVID-19 symptoms with temperature prior to being allowed inside the facility.

LPA Wallace and program director inspected physical plant was toured inside and outside to ensure the safety of the participants and compliance with Title 22 regulations. Participants were observed participating in Thanksgiving activities. The program has designated cohorts to minimize contact. Participants are encouraged to wear masks at all times unless eating or drinking. LPA conducted the infection control domain tool. The facility has a LIC 808 mitigation plan uploaded into FAS. LPA observed the facility to have COVID-19 informational signs, social distancing signs, hand washing signs posted throughout the facility and in shared bathrooms. The facility is able to designated and dedicated a isolation area if needed. LPA engaged with a few participants and staff during the visit.

LPA observed the temperature inside the facility was measured at 74 *F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 111.9 *F, which is not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). The facility common areas were clean and furnished. Office spaces were organized and free from debris. Facility has one participant receiving medications during program hours. Medication cabinet was locked and inaccessible to participants. Tables had dividers and chairs were spaced apart to ensure social distancing. Smoke and carbon detectors were in good repair. Fire extinguishers were last serviced on 6/28/2022 and a pull alarm system was observed. All emergency exits were clear from obstructions.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was left with Program Director.