Facility Evaluation Report

Licensing Program Analyst LPA Shawna Doucette and Kamaldeep Kaur conducted an Annual Inspection on this date. LPA was met by Administrator Ricardo Andres and discussed the purpose of the visit. Administrator Ricardo Andres and LPA began the tour at the front entrance of the facility.

Visitor log-in/temperature check, masks, and disinfection station was observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common areas. Hand washing and other various Covid-19 related signs were observed in the common areas.

LPAs did not observe a two day supply of perishable food and seven day supply of non-perishable food. Facility had a very small amount of canned foods/snacks for clients in care. Cleaning supplies were observed behind a locked door in the laundry room. LPA observed the following personal protective equipment in a storage cabinet; gown, face shield, gloves, and masks. Staff records were reviewed for infection control training. Administrator advised staff was trained however he does not have documentation. LPA observed all facility staff wearing masks.

Resident’s files have updated emergency contact information.

Deficiencies are being cited based on LPA's observation, interviews conducted, and record review in accordance with the CCR Title 22. See LIC 809D.

Exit interview was conducted and a copy of this report was provided via email to Administrator.