Facility Evaluation Report

On 1/25/23 at 11:30 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced annual infection control inspection of the facility above. LPA met with Randyn Torres, Administrator, and explained the reason for the visit.

LPA toured the facility with the administrator and observed the following: Upon entry to the facility, LPA was screened, however, administrator was not wearing a mask. This is a violation of official government orders requiring the wearing of face coverings while working under specified conditions. The facility did not protect the personal rights of clients in care to be able to receive safe and healthful accommodations in that the facility staff failed to wear face coverings while providing care and supervision to clients in care. Pursuant to Title 22, California Code of Regulations, the deficiency will be cited on 809-D. During the tour, LPA also observed: The facility has infection control signage. There are soap and paper towel dispensers in client bathrooms (2). Fire extinguishers (2) are located in the kitchen and garage. The extinguishers are fully charged and were inspected on 11/22/22. At 11:50 am, LPA observed the freezer temperature in the garage which displayed 10F degrees. Administrator adjusted temperature and by 1:05 pm, the temperature read 0F degrees. At 11:56 am, LPA observed a cabinet with client records unlocked in the administrator’s unlocked office. The licensee has the responsibility to safeguard the confidentiality of client records. Deficiency cited. LPA observed the bathroom shower missing a door handle. Licensee will install a handle, take a photo and send to LPA by 2/1/23. The facility’s oven has a broken tray at the bottom, front of the oven. Licensee will repair the tray, take a photo, and send to LPA by 2/1/23. At 1:12 pm, LPA interviewed the administrator. Administrator states she has been the administrator since September 2022. CCL records indicate Staff #1 (S1) as the administrator. Administrator reached out to Executive Director Chris Quattlebaum who confirms the documentation has not been sent to CCL. The facility failed to report the change of administrator to CCL within the 30-day requirement. Deficiency cited.

At 12:17 pm, LPA conducted the Infection Control mitigation module with the administrator.

Exit interview conducted, deficiencies cited, and the report and appeal rights emailed to the executive director and administrator.