Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived at the facility unannounced to conduct an annual inspection. LPA met with facility staff, and explained the purpose of the visit. Administrator Thelma Casugay arrived to the facility shortly after LPA's arrival.

LPA and Administrator Thelma toured the physical plant to ensure compliance with title 22 regulations. An infection control tool was completed. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. Temperature inside the home was 78 degrees F. Emergency exits were clear from obstructions. LPA measured the water temperature at 109.0 degrees F, which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers, smoke and carbon monoxide detectors were observed in working condition with last check on 01/14/2022. A first aid kit was observed to have necessary items LPA observed centrally stored medications, toxins, and sharps kept locked and inaccessible to clients. LPA observed the facility to have hand washing signs and COVID - 19 informational signs posted throughout the facility. The facility infection control plan and infection control plan for monkey pox was reviewed at the facility and met department requirements. LPA Valerio reviewed staff files for staff on shift. Training were up to date and up to date CPR/first aid was observed.

LPA obtained the following documentation: Infection Control Plan/Monkey Pox Control Plan and Updated Administrator Certificate. LPA requested the following documents be sent to the RO for facility file: LIC 308 Designation of Facility Responsibility, LIC 610E Emergency Disaster Plan, Surety Bond

Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted with Administrator Thelma Casugay, and a copy of this report was left at the facility.