Facility Evaluation Report
On 04/12/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and met with Licensee Deena Patch. LPA conducted a facility tour with Licensee. There are currently five clients present during tour.
Upon entry facility staffs was observed with facial mask. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed social distancing and cough etiquette postings in facility.
LPA checked clients’ locked medications and observed a 30 days PPE supplies. LPA observed fire extinguisher served date:10/29/22. Fire drill: 02/22/22. Food supply was checked and appeared to be an adequate supply. All clients’ room toured and observed to be adequately furnished and lit. LPA observed 2 shared resident’s bedroom to be at least 6 feet apart and 1 bedroom that are single occupant. All bathrooms observed trash bin with lid. LPA observed hand washing posting by all sinks. Cleaning supplies were stored and locked in laundry room.
The exterior tour was conducted. Side gate was self-closing and self-latching. Staff records were reviewed for good health and infection control training. All clients’ records reviewed to have updated emergency contact information.
No deficiencies issued during this inspection.
Exit Interview conducted. LPA received copy of Administrator Certificate, Lic 308, Lic 500, Lic 610D, Lic 808, and Lic 9020 during facility inspection. Administrator was informed that as COVID-19 precautionary measure, this report will be provided via email. Report signed on-site.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction