Facility Evaluation Report, 01/31/2023 — Momentum Work, INC. Marsala, Santa Maria CA

Licensing Program Analyst (LPA) Olson conducted an on-site 1 year infection control annual visit to the facility above on 1/31/2023 around 2:15 PM. LPA met with Pam Holcombe, Administrator around 2:30 and explained the purpose of the visit.

LPA took a physical plant tour of the facility with Administrator. The facility has submitted an Infection Control Plan to the department. The facility has an entry point at the front door where everyone entering signs in. The staff screen residents for symptoms and temperature once a day. Increased monitoring is conducted if any change of condition are noted or any residents are showing any signs, symptoms or a temperature. Signs are posted in the front door and entry area regarding Covid-19. Staff makes sure residents have a mask when leaving the facility and on outings into the community. All staff will wear face coverings in the facility and when on outings with residents. Facility has areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed.

Administrator is in charge of infection control and provides training and education to staff, residents and visitors. Staff will use full PPE with N95 masks and face shields when working with any pending or confirmed cases of Covid-19. Facility is able to dedicate a single room for residents so isolation can be arranged when and if needed. The facility has single rooms that are disinfected and wiped down daily. Precautionary Droplet signs will be posted on any room with quarantine or isolated individuals. PPE supplies will be located right outside those rooms when required. Facility has a 30 day supply of PPE on hand.