Facility Evaluation Report

On 1/11/23 at 1:30pm, LPA Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the administrator Lourdes Fernandez and explained the purpose of the visit.

LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, clients bedrooms; clients bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed facility with a current census of 5. Facility has 5 bedrooms. 1 bedroom is for staff use only. There are 2 bathrooms available for client use. Facility also has a formal dining area and tv room area for client use. LPA also conducted the infection control domain tool. There is a locked shed in the backyard inaccessible to clients

The facility submitted a LIC 808 mitigation plan. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, clients, and visitors. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and backyard. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. LPA reviewed 5 staff and 5 resident charts. Charts contained all appropriate contents including current first aid certification, COVID-19 vaccination status, and fingerprint clearance for staff. Disaster plan has been updated. LPA requested copy of updated disaster plan, LIC 500 and resident roster.

Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 75*F. LPA observed the facility to have adequate food supply. Client 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 3-15-22. Facility has an emergency food and water kit.

Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator Lourdes Fernandez.