Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. Administrator (ADM), Stephanie Valera was unable to meet LPA at the facility and instead conducted a Facetime visit. LPA also met with Direct Support Professional (DSP), Cora Borre.

During visit, LPA and DSP toured the facility to include the living rooms, kitchen, bedrooms, bathroom, garage, and backyard. All fire exit routes were free and clear of obstruction. Staff present was fingerprint cleared and associated to the facility. Staff observed wearing a face covering.

Facility has a central entry point for symptoms screening, temperature check, and sign-in for all visitors, staff, and residents. Hand sanitizer and Personal Protective Equipment (PPE) supplies made available at entry. Bathroom supplied with hygiene products, paper supplies, and hand washing sign. Trash bin with lid observed throughout the facility. Facility staff clean and disinfect multiple times daily and as needed. Facility staff are trained on infection control and are N95 fit-tested. The facility has procedures to isolation for COVID-19 and visitation. The following posters observed to include hand washing, cough etiquette, donning and doffing, symptoms of COVID, feeling ill, and social distancing.

The following documents were requested to include: Change of Administrator, LIC9182, DL/ID, LIC508 and Administrator Certificate.

No deficiencies were cited per California Code of Regulations, Title 22.

This report was reviewed with DSP, Cora Borre and a copy of the report was provided.