Facility Evaluation Report

On 2/14/22 at 10:03am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the facility manager Jose Ventura and explained the purpose of the visit.

LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, client room; resident bathrooms, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 12 bed adult day program with a current census of 0. Facility manager stated facility has been closed due to COVID-19 since March of 2020. There is a dining area and a common area for clients. LPA also observed an activity area for clients. LPA also conducted the infection control domain tool.

The facility has an approved COVID Mitigation plan LIC 808 form in place. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs available. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed.

Water temperature in the bathroom was within the range of 105*F and 120*F and room temperature was within 68*F and 85*F. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 4/21.

Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held with Jose Ventura and a copy of this report was given to Jose.