Facility Evaluation Report

Licensing Program Analyst (LPA) Marybeth Donovan conducted an unannounced Required - 1 Year Annual Inspection to include Infection Control site visit and met with Violeta Dumo Administrator.

LPA toured the facility inside and out. All fire exit routes were free and clear of obstructions. Sharp objects, toxins, cleaning supplies are secured. Medications are stored in a locked cabinet in the kitchen. Fresh fruit of apples were observed in the kitchen.

Facility observed to have designated entry point for COVID 19 symptom screening. Hand sanitizer available to visitors and residents. Bathrooms observed to be supplied with hygiene products. Hand Washing signs posted in the bathrooms and in the kitchen near the sinks. LPA observed supply of Personal Protective Equipment (PPE). COVID 19 signs posted included Wear a Mask, Visitor Policy, COVID Screening Symptoms, Social Distancing, Droplet Precaution, Cough Etiquette, Germs, How Can I Protect Myself from COVID 19, Self-Monitor and Practice, and Clean for COVID 19.

LPA reviewed the facility policies and procedures to include screening, visitation, testing, masking, isolation and disinfecting,

No citations were issued per the California Code of Regulations Title 22.

LPA reviewed report with Violeta Dumo Administrator and a copy provided.