Facility Evaluation Report

On 01/31/22 at 12:30 p.m., Licensing Program Analyst (LPA) Toan Luong conducted an unannounced annual visit to the facility. LPA with Staff (S1) Yvette Wright and explained the purpose of the visit. The facility is an Adult Residential Facility with funding from Tri-Counties Regional Center.

At 12:35 p.m., LPA entered the kitchen and observed a fire extinguisher with the serviced tag marked Sep 15, 2020.

At 12:42 p.m., LPA entered the garage and observed a fire extinguisher with the serviced tag marked Nov 18, 2019.

At 1:20 p.m., LPA went over the Infection Control module and advised S1 that the facility will need to have staff fit tested with N95 when working with Covid-19 positive clients. Infection Control module was addressed with S1 to satisfaction.

LPA did not observe any other deficiencies.

LPA issued citation on LIC 809D, issued an immediate civil penalty for the amount of $500, conducted exit interview, provided appeal rights, and emailed report to the administrator.