Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian made an unannounced visit to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by Caregiver Jaymark Arcibal and explained the purpose of the visit. At the time of visit there was three (3) staff and three (3) clients present. One (1) client was away from the facility.

During today's visit, LPA toured the facility and made observations regarding the infection control measures that the facility has implemented. The entrance of the facility has a check in process for staff and visitors that includes a temperature and symptom check. LPA observed postings for handwashing and proper cough etiquette throughout. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer and paper towels). LPA observed a thirty (30) day supply of Personal Protective Equipment (PPE) which includes gloves, gowns, disinfectant, surgical masks, N95 masks, and hand sanitizer. PPE was stored in a closet in the garage.

The facility staff has a plan in place to manage Covid-19 symptoms, which includes staff monitoring clients regularly for any changes in condition and daily temperature checks. The facility will contact the client's physician in the event of any Covid-19 related illnesses. There is a symptom screening of clients logged daily. The facility staff are responsible for cleaning and disinfecting the highly touched surface areas during their shift. All staff and clients are practicing all other precautions, which minimize the risk of them contracting Covid-19.

LPA toured the facilities interior and exterior and there were no health and safety concerns.

Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and a copy of this report (LIC809) was provided to Caregiver Jaymark Arcibal.