Facility Evaluation Report
Licensing Program Analyst (LPA) Victoria Willis arrived unannounced to conduct an Annual Required inspection and was greeted by Administrator, Audrey Land. The inspection is focused on the Infection Control procedures and practices of this facility.
Upon arrival, LPA observed that the facility has Covid related posters on the exterior door. LPA's temperature was checked upon entry to the facility. LPA was asked to complete sign in sheet that documented visitor temperature and asked standard Covid-19 questions. LPA conducted a walk-through of the facility and observed hand washing signs in restrooms. LPA suggested that facility add some cough etiquette and social distancing posters throughout the facility. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer was observed in a centralized space in the facility and in the office area of the facility. Hand sanitizer is not kept in client rooms to ensure the safety of clients in care. Clients are encouraged to wear masks and staff are required to wear masks while in the facility. Observed staff had masks on during this visit.
LPA and Administrator discussed client activities and visitation. Facility has a designated visitation area both inside and outside. Facility has had a recent fire inspection and not issues were noted.
Caregivers have completed Personal Protective Equipment (PPE) training but have not been N-95 Fit tested. Commonly touched surfaces are disinfected at least once per shift.
Facility has submitted their Covid Mitigation Plan and it has been reviewed by CCL. Facility has more than a 30 day supply of Personal Protective Equipment (PPE) including but not limited to masks, face shields, gowns and hand sanitizer. PPE is accessible to staff who need it. Facility maintains a 30 day supply of medication.
LPA confirmed that facility is following CCL guidance for visitation and testing.
Administrator and LPA discussed their Emergency Disaster Plan.
No deficiencies cited during this inspection.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction