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 Administrator, Shelly Goss.

During visit, LPA toured the facility to include the living room, bedrooms, bathrooms, garage, and backyard. All fire exit routes were free and clear of obstruction. All staff observed wearing a face covering.

Facility has a designated entry point for sign-in, symptom screening, and temperature check for all visitors and staff. Hand sanitizer made available at entry and throughout the facility. Visitation guidelines posted at the entrance. Bathrooms supplied with hygiene products, paper supplies, and hand washing sign. LPA observed facility's Personal Protective Equipment (PPE) supplies and PPE bins. Facility has procedures to isolation and testing for COVID-19. Staff are trained on infection control. Staff are N95 fit tested. Facility staff clean and disinfect multiple times daily and as needed. The following posters observed to include social distancing and symptoms of COVID-19.

The following document was requested to include the LIC610D.

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

This report was reviewed with Administrator, Shelly Goss and a copy of the report was provided.