Senior Care Records.

Facility Evaluation Report

Alpine Terrace, Alpine05/13/2022Licence 370808095

Capacity6
Census4
Date signed05/13/2022 04:37:31 PM
The inspector’s account

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Required 1 - Year Visit. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Deborah Johnston and Direct Support Professional Dennis Paul Green.

LPA conducted a brief tour of the facility and observed the staff and clients in care. In accordance with the Department’s Infection Control program, LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan, to include disinfection, screening protocols, and the use of personal protective equipment. No deficiencies were cited on this date.

An exit interview was conducted with Johnston and Green, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction