Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an annual Required-1 year inspection and met with Debra Marrama, Administrator. The annual inspection is focused on the Infection Control procedures and practices of this Facility. There is currently 5 clients in care.

LPA toured facility and grounds with Program Manager, Jose Mata and observed COVID-19 precaution signs posted in common areas to promote hand washing, mouth covering and cough etiquette. Visitors are screened for COVID-19 symptoms upon arrival to the facility. Infection control practices are present: entry procedures, face coverings, daily monitoring and temperatures checked for clients and staff, and 30-day PPE supply. Facility follows indoor visitation requirement of verifying and tracking COVID-19 vaccination or verify non-essential visitors have proof of a negative COVID-19 test. Facility states staff clean and disinfect the facility daily. Facility understands hand sanitizer should not be placed in the rooms of residents who lack hazard awareness and impulse control. Covid-19 Mitigation plan was reviewed by the department on 6/24/2021. Staff has completed PPE training and have been N-95 Fit tested.

In addition, facility was found to be clean, at a comfortable temperature with all exits free from obstruction. Fire Extinguishers were found to be last charged and serviced on August 16, 2021.

Exit interview conducted with Debra Marrama

No deficiencies cited during today's inspection