Facility Evaluation Report
Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. LPA met with Licensee, Eleanor Basa and Administrator, Sharon Basa.
No clients observed on-site and were attending day program. During visit, LPA toured the facility to include the kitchen, living room, dining room, resident rooms, bathroom, garage, and backyard. All fire exit routes were free and clear of obstruction. Fire extinguisher last service date was 04/29/2022.
During tour, LPA observed 2 resident's (R1 - R2) bed contained full length bed rails with padding around the railings. LPA reviewed the facility file and did not observe exception requests were submitted to admit and retain a resident with full length bed rails. Licensee states an exception request was not submitted to the Department.
Facility has a designated entry point for verbal symptom screening, temperature check, and sign in for all visitors. Hand sanitizer and face masks made available at entry. LPA did not observe the facility's visitation guidelines posted. Facility staff clean and disinfect multiple times daily and as needed. Bathroom supplied with hand washing sign, paper supplies, hygiene products, and trash can with lid. Facility's staff training records were observed and did not indicate infection control training was conducted in 2022 - 2023. Licensee will ensure to train staff on infection control, ASAP. Staff are not N95 fit tested. Licensee states to work on getting staff N95 fit tested. LPA reviewed the facility's policies and procedures to isolation, testing for COVID-19, and visitation. The following posters observed to include lets keep facility clean, social distancing, and cough etiquette.
A deficiency was cited per California Code of Regulations, Title 22 and a plan of correction was developed with Licensee. See LIC809D. Advisory notes provided. This report was reviewed with Licensee, Eleanor Basa and a copy of the report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction