Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived at the facility unannounced to conduct the annual inspection. LPA met with facility staff, and explained the purpose of the visit. Staff stated that a staff member tested positive for COVID yesterday on 08/22/22. Staff and residents were tested yesterday and so far everyone was negative. Administrator was not at the facility at the time of arrival.

LPA Valerio inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living room, and outside storage areas of the facility to ensure compliance with Title 22 regulations.

LPA observed the temperature inside the facility was measured at 76 *F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 106.7*F, which is not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C) as per Title 22 regulations. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed the centrally stored medications area and cleaning supplies to be locked and inaccessible to clients. Resident rooms was sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher is up to date with last check on 10/12/2021.

LPA requested the following documentation be sent by COB 08/29/22: Infection Control Plan, LIC 500, LIC 308, Surety Bond, Administrator Certificate, Emergency Disaster Plan

Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held with facility staff, and a copy of the report was left for Administrator.