Facility Evaluation Report

Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Lead Staff, Judy Johnson (JJ). The facility currently has 0 clients in care. The facility is in contact with North Bay Regional Center for vendorization and is expected to admit clients within the next 2-3 months. The Licensee will keep LPA updated on facility operations.

LPA arrived at the facility and had temperature checked and logged. The facility is currently under renovations with expectations to be completed before re-opening of operation. LPA continued with a tour of the facility with Licensee; facility was found to be clean and at a comfortable temperature with all exits free from obstruction.

Facility has submitted a COVID Infection Control Plan for review. Posters are readily available and will be posted once the facility is back in operation. Facility has a station at main entrance with a sign in sheet in place, hand sanitizer and other items designated for visitors and staff. Staff and residents will be screened on a daily basis once admitted.

No deficiencies cited during today's visit.

LPA requested the following documents be sent to CCL by COB 7/5/2022:

LIC 308 Designated Facility Responsibility