Facility Evaluation Report

Licensing Program Analysts (LPAs) Natalie Ibarra and Paola Guerrero made an unannounced visit to conduct an annual inspection, with emphasis on infection control. LPAs were greeted and allowed entrance by Direct Support Professional (DSP) Mary Kaseger. Administrator Vergel Santos was notified and arrived towards end of visit. DSP Kaseger accompanied LPAs on a tour of the facility.

LPAs toured the facility and made observations pertaining to the facility’s infection control measures. The reclients have hand sanitizer available to them throughout the facility, and the bathrooms were stocked with hand soap and paper towels. Facility has sufficient hand hygiene, cleaning, and disinfecting supplies.. LPAs requested to inspect the facility's Personal Protective Equipment (PPE) supply. LPAs observed one central entry point the included a temperature check. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in overall infection control. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and client for COVID-19, when and how to isolate/quarantine clients, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the client's physician and to notify all emergency agencies in the event of any COVID-19 related and/or suspected illnesses. During tour LPAs observed the side gate to be broken. A deficiency will be cited on the attached LIC 9099D

An exit interview was conducted, and a copy of this report, LIC 9099D, and Appeal Rights were discussed and provided to Administrator Vergel Santos.