Facility Evaluation Report
Licensing Program Analyst (LPA) Melody Brown arrived at the facility 05/11/2022 at 9:15 AM unannounced in order to complete the facility's Annual Inspection. LPA Brown met with Staff Renee Morales and advised of the purpose of the visit, and that the Annual Inspection will be limited to Infection Control only. Administrator Evelyn Green was contacted and arrived at the facility during the visit. 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 Green. Per documents review, Mitigation Plan was submitted 07/27/2021.
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 client bedrooms and bathrooms and observed that both client 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 however, LPA Brown observed no available face shields/goggles at the facility. LPA Brown will be issuing a Technical Assistance Advisory Notes for not having face shield/goggles at the facility. Administrator Green informed LPA Brown that their main office will provide face shields/goggles and will submit a request today. LPA Brown went over the various recommended training for facility staff with Administrator Green in relation to COVID-19 and Administrator Green informed 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 Administrator Green informed LPA Brown that only Staff 2 and Staff 4 had been fit tested at this time and other staff - Staff 1, Staff 3, Staff 5, Staff 6, Staff 7 and Staff 8 have not been fit tested. LPA Brown will be issuing a deficiency during today's inspection for staff not being fit tested for N95 masks due to the facility having COVID-19 positive client last 01/24/2022, and N95 masks needs to be worn when a client is **** Continuation in LIC809C ****
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction