Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct a Required 1 - Year inspection and met with Licensee & Administrator Anny Camerino and Licensee Ceazar Camerino, who was also present. The inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly.

LPA reminded Administrator to keep her face mask on at all times when in the facility. LPA conducted a walk-through of the facility with Administrator and observed COVID-19 precaution postings. A screening station was observed at front entrance of facility to screen anyone entering the facility (staff, essential and non-essential visitors). Screening station includes hand sanitizer, a thermometer, COVID-19 screening questionnaire, and a sign-in sheet for visitors and staff. LPA observed 1 resident in care. Administrator took LPA's temperature and screened LPA for COVID-19 symptoms.

Administrator stated client's temperatures are taken once a day and LPA observed documentation. .

A designated visitation area is available and staff provide phone calls for family to stay in contact with residents. There is a supply of PPE including gloves, face shields, N-95 respirators, disposable gowns, and surgical masks.

The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 to be reviewed by the California Department of Social Services, Community Care Licensing.

LPA discussed N-95 respirator Fit testing (Cal/OSHA requirement).

LPA discussed requirement of staff needing to be fully vaccinated OR have an exemption in file (religious or medical) and they must test weekly per PIN 21-44-ASC: Adult and Senior Care Facility Worker Coronavirus disease 2019 (COVID-19) Vaccination Requirement.