Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived to conduct a required 1 Year inspection and met with Lead LPT staff Judy Colombo. This inspection is focused on the infection control procedures and practices of this facility.

Fire door was under repair upon LPA's arrival; Hue & Cry repair services for the fire alarm system was on-site and spoke with the LPA; Facility's fire door is now working properly after repairs-effective today, 8/4/2022.

LPA reviewed two resident incident reports submitted to the Department; LPA obtained additional information regarding both incidents. It was found that a medication was not given to a client as prescribed, this deficiency will be cited, 80075(b)(5)(B) Health Related Services-see LIC809D.

Facility has recently submitted the new Infection Control Plan as required by the Department. Fire clearance is approved for four (4) non-ambulatory, of which four(4) may be bedridden.

There are four 4 clients in care at the facility. All visitors and staff are screened upon entry; Temperatures are taken, screening questions are to be answered before being allowed to enter and remain in the facility, all information is logged. Clients are screened daily and as often as needed, clients are observed for any changes, and all information is logged.

Facility was found to be clean, orderly, and at a comfortable temperature with exits free from obstruction. Toxins are stored in locked cabinets.