Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct an annual inspection. LPA Valerio met with facility staff, and stated the purpose of today’s visit. Licensee arrived at the facility shortly after LPA.

The physical plant was toured inside and outside to ensure the safety of the residents and compliance with Title 22 regulations. The infection control tool was completed during the visit. The facility has an Infection Control Plan and a Monkey Pox Infection Control Plan on file that meets department regulations.

LPA observed the temperature inside the facility was measured at 74 *F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 106.2 *F. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed the centrally stored medications area to be locked and inaccessible to clients. LPA Valerio observed the fire alarm, fire extinguisher(s), smoke and carbon monoxide detectors, central heating, and air in the facility. Fire extinguishers were up to date with last check on 10/01/2022. A first aid kit and an emergency supply of food/water was observed. Sharps were observed to be locked up.

LPA requested the following documentation: LIC 500, LIC 308, LIC 610E, Administrator Certificate, Infection Control Plan - Monkey Pox

Per the California Code of Regulations, Title 22 no deficiencies were observed or cited. Exit interview held with Administrator Sherri, and a report was left at the facility