Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year inspection and was greeted by staff live-in staff Edguardo and Aida. House Manager Charisma Mari arrived later. The annual inspection is focused on the Infection Control procedures and practices of this Adult Residential Facility.

LPA conducted a walk-through of the facility and observed 2 of 4 clients in care; the other clients 2 were at day program. Facility has a screening station with sign-in sheet and COVID questionnaire. Staff took LPA's temperature upon arrival. Staff have CPR/first aid certifications. Fire extinguisher was charged.

The facility has a supply of PPE including gloves, hand sanitizer, N-95 respirators, gowns, face shields, and surgical masks. Staff have received training on the following topics: infection prevention, symptoms, transmission and PPE use. Staff and client's temperatures are taken daily and documented. House Manager stated staff clean and disinfect the facility throughout the day. The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 which was reviewed by the California Department of Social Services, Community Care Licensing.

LPA observed COVID-19 precaution postings, liquid hand soap and paper towels available in bathrooms.

LPA discussed the following requirements with House Manager:

· Obtain N-95 mask fit testing for staff (Cal/OSHA requirement).

· Documenting COVID-19 staff training on infection prevention, symptoms, transmission and PPE use.

· Staff must wear face masks in the facility regardless of vaccination status.

· Have fire extinguisher serviced and tagged by the Fire Department