Facility Evaluation Report

On 10/21/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by the Lead Staff, Elizabeth Gaces who call the administrator informing LPA's visit. LPA explained the purpose of the visit.

LPA toured facility and grounds. The facility appeared clean and tidy. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, resident and staff daily monitoring records, containment strategies.

During the visit, there were 3 clients and 3 facility staff present. LPA observed 2 clients were actively walking around the facility with their one on one caregivers, and the 3rd client was lying in bed. The facility staff reported the 3 other residents are attending day program.

This is a single level facility with 3 shared rooms, and the beds are observed to be 6" apart. PPE supply and the environmental cleaning supply are adequate, and locked. The bathrooms are equipped with liquid soap and paper towels. Hand-washing instruction posted by the kitchen sink and LPA recommended to post it in the bathroom sinks as well.

Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete.

During today's inspection, LPA requested for a copy of the facility's infection control plan, administrator certification, and LIC 500 to be submitted to CCL by Oct 24, 2022.

This report is reviewed and discussed with the administrator who arrived toward the end of the inspection.