Facility Evaluation Report

On 2/15/23 at 4:13 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with Tryston Davis, Lead Residential Trainer, and explained the purpose of the visit. Lead residential trainer states that it is the Administrator Jami West’s day off.

LPA toured the facility with the lead residential trainer and observed the following: Upon entry to the facility, LPA was screened, however, the lead residential trainer was not wearing his mask properly as he had it below his chin. Additionally, all staff are wearing cloth masks and must be wearing at minimum surgical masks. 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 properly 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. The facility has infection control signage throughout the facility on handwashing, cough etiquette and use of masks. The facility has soap and paper towel dispensers in resident bathrooms (2). Fire extinguishers are located in the dining room and medication room. Extinguishers are fully charged and were inspected on 11/22/22. The facility has two screen doors with tears in them. Licensee will repair/replace these and send photos to LPA by 2/22/23.

At 4:45 pm, LPA conducted the Infection Control mitigation module with the lead residential trainer.

Exit interview conducted, deficiency cited, and the report and appeal rights given to the administrator.