Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Cora Lalic, Administrator. 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. 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. Staff clean and disinfect the facility once per shift. LPA observed 4 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 with staff and Administrator:

· Documenting Resident and staff daily temperatures.

· Screening station at front entrance of facility equipped with hand sanitizer, a thermometer, COVID-19 screening questionnaire and a sign-in sheet for visitors and staff.

· V erifying COVID-19 vaccination for indoor visitation per PIN 22-07-ASC

· Reporting any staff or client positive to CCL, NBRC, and Solano County Public Health

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

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

Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspection