Facility Evaluation Report
Licensing Program Analyst (LPA) Melody Brown arrived at the facility 07/13/2022 at 12:30 PM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with Administrator Michael Nasal and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Operations ManagerAdministrator Cielita Ravelo was contacted and arrived during the visit. Administrator Nasal reported that they have five (5) clients at the facility. Below is a summary of what was observed:
Infection Control: LPA Brown went over COVID-19 best practices for infection control and prevention with Administrator Nasal and Operations Manager/Administrator Ravelo. Per documents review, Mitigation Plan was submitted 04/06/2021.
LPA Brown observed the facility having Covid-19 signages throughout the facility for proper hand washing procedure and social distancing, but no signs have been posted at facility entrance with updates to visitor policy to notify of policies and procedures necessary to protect clients from infection during pandemic. LPA Brown will be issuing a deficiency for this issue. LPA Brown toured the facility and all rooms and bathrooms have hand soap and paper towels. LPA Brown requested to inspect the facility's Personal Protective Equipment (PPE) supply and the facility has sufficient supply of PPE. LPA Brown went over the various recommended training for facility staff with Administrator Nasal and Operations Manager/Administrator Ravelo in relation to COVID-19 and Operations Manager/Administrator Ravelo reported to LPA Brown that all staff are 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 Operations Manager/Administrator Ravelo informed LPA Brown that all staff have not been fit tested at this time. LPA Brown will be issuing a deficiency during today's inspection for staff not being fit tested for N95 masks due to the facility recently had
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction