Facility Evaluation Report
Licensing Program Analyst (LPA) Steve Chang, licensing Program Manager (LPM) Romeo Manzano, and Program Clinical Consultant (PCC) Lori Kopplinger conducted Technical Assistant -PCC through tele-inspection (Zoom),and met with Administrator (ADM) Shirley Richards.
The purpose of this TA PCC Tele visit was to review the facility COVID-19 infection mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide support and guidance to staff in mitigating the spread of virus.
During tele-visit inspection, a tour of the facility was conducted which started at the main entrance to check COVID-19 signage and screening procedures. The facility has the COVID-19 posters at the main entrance to include screening questionnaire forms, hand sanitizer, face masks, thermometer, glove, and a visitor log book.
The facility common areas were inspected such as the kitchen, living room, family room, dining area, bathrooms were observed. No all the trash cans with cover were observed. There are 4 resident bedrooms, 2 staff live-in bedroom, and 2 bathrooms in facility. Facility bathrooms signage on hand washing, hand sanitizer, paper towels were observed, and trash cans were observed. The laundry room was observed and inspected. The resident bedrooms were inspected. The beds in the shared rooms were observed in 6 feet apart. PPE supplies, and disinfect supplies were inspected. Medication closet, and detergent closet were observed locked.
ADM stated all the residents and staff are fully vaccinated. ADM stated the residents were checked body temperature twice per day.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction