Facility Evaluation Report, 12/10/2021 — Akua Behavioral Health INC IV, Fair Oaks CA

Licensing Program Analysts (LPA's) Sabrina Calzada and Cassie Yang, arrived unannounced to conduct a required annual. LPA met with Miriam Whyman, Compliance Manager, and Sean Bezdek, Regional Manager, and explained purpose of inspection. LPA's completed required COVID-19 testing protocols and completed daily assessment and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA's were screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. The facility is a social rehabilitation facility that is licensed for (14) residents. Typical length of stay for residents is (14) days. There are (2) separate buildings licensed by the Department. The facility has an approved mitigation plan. LPA's were informed that all (7) residents were on an outing during the time of the inspection.

LPA's and managers toured the interior of both buildings and the outside areas. LPA's observed the facility to be clean, safe and in good repair and to not pose a health and safety risk or personal rights violation. LPA observed various Covid posters, sanitizer and PPE throughout the buildings. LPA's observed paper towels, soap and hand-washing poster in restrooms. Fire extinguisher last serviced 12/10/2020- will renew by tomorrow and send documentation. LPA's observed 2+day perishable and 7+day non-perishable food and all sharps and toxins to be locked. LPA's and and Administrator discussed the vaccination status of residents/staff as well as visitation protocols per PIN 21-40. Administrator to possibly post signage at the front entrance that masks, documentation of vaccination status or negative Covid test within 72 hours are required upon entry- Facility does not have a lot of visitors outside of care/service providers.

LPA requested an updated copy of LIC308 be sent to the department by 12/17/2021.

There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Administrator who was informed that a subsequent annual inspection could be conducted on/around 2/13/2022.