Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner and Licensing Program Manager Karen Clemons made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA met with staff who confirmed that there are currently no cases/exposures of COVID-19 within the facility. At the time of visit there were 1 staff, and 3 participants present. Staff phoned Licensee who arrived during today's visit.

During the inspection, LPA conducted a tour of the facility and made observations pertaining to the facility's infection control measures. The facility is equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a 30+ day 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, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the proper use and disposal of PPE. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining clients, and properly caring for clients with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the client presents any COVID-19 symptoms.

LPAs 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 or Regulations.

An exit interview was conducted, and a copy of this report was provided to Evelyn Green.