Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Silva Rosario, House Manager. 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 with live-in staff Lim & Yanfei. LPA observed COVID-19 precaution postings. The facility has designated visitation areas for visitors. Staff and Client temperatures are taken once a day. LPA observed 3 clients in care. The facility has a supply of PPE including gloves, face shields, N-95 respirators, surgical masks and disposable gowns. 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 discussed the following requirements related to COVID-19 precautions with Silva Rosario, House Manager:

· Staff to ensure COVID-19 screening questionnaire, sign-in sheet, hand sanitation, and temperature check is being completed for all visitors.

· Verifying COVID-19 vaccination or COVID-19 test for indoor visitation

· N-95 respirator Fit testing (Cal/OSHA requirement) for staff. Administrator to obtain documentation for completion for CCL verification.

· Staff & visitors to wear face masks indoors regardless of vaccination status

· Staff training in the following topics: infection prevention, symptoms, transmission and PPE use.