Facility Evaluation Report

On 02/9/23, Licensing Program Analyst (LPA) Yang arrived unannounced and to conduct an Annual Inspection- Infection Control. LPA was greeted by House Manger (HM) Connie Powell. LPA introduced self, stated the purpose of the visit, and was granted entry. There are no client present during inspection. LPA toured the facility with HM.

Upon entry facility staff was observed with facial mask. No Visitor log-in/temperature check was observed upon entry. Hand sanitizer was available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction. Social distancing is maintained in the common and dining areas. LPA observed cough etiquette posting in facility. LPA observed fire extinguisher served date: 01/17/23. Cleaning chemicals stored and locked in garage cabinet.

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 1 shared bedroom beds appeared to be 6 feet apart and 2 bedroom that are single occupant. Bathroom observed trash bin with lid. LPA observed hand washing posting by bathroom sink. LPA observed a small amount of PPE supplies which included: N95, surgical mask, face shields, and gloves.

The exterior tour was conducted. Side gate clear from debris. All client records reviewed to have updated emergency contact information. Staff records were reviewed for good health and have current First Aid/ CPR.

No deficiencies issued during this inspection.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 2/15/23. The following updated forms were requested: Lic 308, Lic 309 (if applicable), Lic 400, Lic 402, Lic 500, Lic 610D, Lic 808, Lic 9020, and Lic 9282. LPA received copy of current Administrator certificate. A copy of this report was provided to the HM.