Facility Evaluation Report
On 10/21/21 at 10:15 AM, Licensing Program Analyst (LPA) Toan Luong arrived at the facility and contacted Licensee/Administrator Young Won via telephone to perform a facility risk assessment. LPA conducted an unannounced on-site One Year Infectious Control Annual visit to the facility. LPA met with Administrator Debbie Pineda and explained the purpose of the visit.
Administrator took LPA on a physical plant tour of the facility. The facility has submitted a mitigation plan to the department.
The facility is an Adult Residential Facility. During the facility tour, LPA advise administrator to post visitation policy at facility entrance. LPA advised posting CDSS PINs and have PINs readily accessible to residents, visitors, and staff. LPA recommended administrator have staff fit-tested with N95 masks.
LPA reviewed the Annual Mitigation Inspection Control Tool Module. Module was addressed with administrator to satisfaction.
Exit interview was conducted. No deficiencies were cited. Report emailed to licensee and administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction