Facility Evaluation Report

Licensing Program Analyst (LPA) Dina Alviso conducted 1 year required inspection and met with Administrator Margo Rooney. The inspection is focused on the Infection Control procedures and practices of this facility.

There are six(6) clients in care. Clients are screened daily, and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins/cleaners are stored in locked cabinets making them inaccessible to clients in care. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to clients in care. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE) for staff use as required; PPE supplies are available to clients for use as needed. Administrator recently submitted the Infection Control Plan as required. Fire clearance is approved for six (6) ambulatory.

LPA observed the staff on duty not wearing a mask as required. LPA discussed the mask requirement with the staff person (S1) who did put on a mask right away when the LPA asked them to. Deficiency will be cited, 80072(a)(2) Personal Rights-see LIC809D. LPA arrived at the facility and was let in by the staff person on duty (S1) and was not screened as required. Deficiency will be cited, 80064(s)(3) Administrator -Qualifications and Duties-see LIC809D.

The following citations are being issued under Title 22, Division 6 of the California Code of Regulation. Appeal Rights given .

Exit interview conducted with the Administrator.