Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores conducted a scheduled technical assistance visit and met with Administrator Designee, Barbara DeLash and Administrator, Maria Nicolacoudis. During visit, LPA conducted a Facetime tour of the facility with Program Clinical Coordinator (PCC) Helen Shi and Licensing Program Manager (LPM) Jackie Jin. The purpose of the visit was to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility. LPA toured the facility inside and out to include: central entry-point, bathrooms, 3 activity rooms, and outdoor area. LPA observed posters including social distancing and required face masks posted inside and outside of the facility.

During today's tele-visit, the following recommendations were made to the facility by PCC, Helen Shi.

1. Place hand-washing posters in all bathrooms

2. Place donning and doffing PPE sign outside of the isolation room for a reminder of proper PPE usage

Administrator Barbara DeLash emailed LPA Christine Dolores pictures of hand-washing posters posted in all bathrooms and Donning and Doffing PPE sign outside isolation room.

No deficiencies were cited as per California Code of Regulations, Title 22. This report was reviewed via tele-visit with Administrator, Maria Nicolacoudis. A copy of the report will be emailed for signature.