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Facility Evaluation Report

Xavier Family Home, Fontana02/22/2022Licence 366426354

Capacity6
Census4
Date signed02/22/2022 02:26:05 PM
The inspector’s account

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 02/22/2022 at 12:30 PM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with House Manager Laporsha Grant and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Below is a summary of what was observed:

Infection Control: LPA Brown went over COVID-19 best practices for infection control and prevention with House Manager Laporsha Grant and House Manager Grant reported that Mitigation Plan was submitted January 2021. LPA Brown observed the facility having Covid-19 signages throughout the facility for proper hand washing procedure and social distancing. LPA Brown toured the facility's and observed that client bathrooms have paper towels and hand soap. LPA Brown requested to inspect the facility's Personal Protective Equipment (PPE) supply. LPA Brown observed the facility to have a sufficient supply of sanitizer, gloves, masks, and face shields/goggles and isolation gowns. LPA Brown went over the various recommended training for facility staff with House Manager Grant in relation to COVID-19 and House Manager Grant reported that all staff were trained on various aspects of infection control, recognition of symptoms of COVID-19, and donning/doffing of PPE.

LPA Brown inquired as to if staff have been fit tested for N95 masks, and House Manager Grant informed LPA Brown that at this time staff have not been fit tested. LPA Brown will be issuing a technical violation during today’s inspection for staff not having been N95 fit tested due to the facility having covid positive client last 01/03/2022. Also, LPA Brown informed House Manager Grant that N95 masks needs to be worn when a client is COVID-19 positive or under observation while awaiting test results. Additionally, House Manager Grant reported that all residents and staff have been vaccinated and are practicing other COVID-19 precautions, which minimize the risk of them contracting COVID-19. Also House Manager Grant added that

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction