Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year inspection and was greeted by live-in staff Carmencita (Cita) L. Co-Administrator Joanne Samson 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 with live-in staff and observed COVID-19 precaution postings. A screening station was observed at front entrance of facility which had hand sanitizer, a thermometer, and a sign-in sheet for visitors and staff. LPA was screened for COVID-19 symptoms. Visitors are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. LPA discussed the requirement for indoor visitation requirement of verifying COVID-19 vaccination or a negative COVID test within 72 hours for non-essential visitors. The facility has designated visitation areas, provides virtual visits and phone calls for family to stay in contact with clients. Staff and client's temperatures are taken once a day; LPA observed documentation. Staff clean and disinfect the facility every night. LPA observed paper towels, hand soap, and hand washing steps poster in the bathroom.

LPA observed 3 clients in care. Staff have documented completion on the following training: infection prevention, symptoms, transmission and PPE use. N-95 respirator Fit testing (Cal/OSHA requirement) is in process with North Bay Regional Center. The facility has a supply of PPE including gloves, face shields/goggles, 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.

Exit interview conducted with co-Administrator, whose signature on this document confirms receipt.

No deficiencies cited during this inspection