Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a required annual inspection with an emphasis on infection control. LPA identified herself to Administrator Vivian Francisco. Administrator verified that the facility currently has no active and/or suspected COVID-19 cases.

During the inspection, LPA Bueno and Administrator toured the facility inside and out. LPA interviewed Administrator Francisco regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures.

LPA observed that the facility appeared to be meeting operational requirements. LPA Bueno observed all utilities and appliances were functioning properly and passageways are clear of obstruction, including emergency exits. The facility has a locked and gated body of water. The facility has sufficient food supply and emergency and paper supplies. All areas of the facility, including client bedrooms and bathrooms, appeared clean and in good repair. Fire extinguishers were last checked on 12/3/21 and combination smoke detector and fire alarm were functioning.

LPA Bueno observed no health and safety concerns at the time of visit. Based on observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed with and a copy of this report was provided to Administrator Francisco at the conclusion of the inspection