Facility Evaluation Report

7/19/2022 12:45 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain, LPA met with administrator Darlene Mehew and licensee Melissa Pritchard and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 mask, gloves. Additionally, LPA Knight was screened by facility staff.

LPA Knight and Ms. Mehew toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, eight (8) resident bedrooms, four (4) bathrooms, kitchen, and storage areas.

LPA observed the administrator, licensee and two care staff not wearing masks while in the facility. Deficiencies are being cited as a result of todays inspection. Based on the interviews and evidence obtained, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Appeal rights were provided, and an exit interview conducted.

Exit interview conducted and copy of report was emailed to administrator Darlene Mehew