Facility Evaluation Report

A virtual Informal Conference was conducted today. The purpose of this Informal Conference is to discuss building permits for the room addition, fire clearance, inspection authority for (ADU) Accessory Dwelling Unit, Staffing, and infection control.

In attendance included Licensing Program Manager (LPM) Kristin Heffernan, Licensing Program Analyst (LPA) JoAnn Rosales, (TCRC) Tri-Counties Regional Center (QAM) Quality Assurance Manager Freddie Garcia, and Administrator Cami Hershkovitz.

LPM Heffernan discussed the importance of mask wearing and that staff should be masked while in the facility. LPM stated that it is optional for the clients. Administrator stated that they were not masking in the beginning until they had an outbreak. Administrator stated that the clients will not wear the masks. LPM stated that the masking mandate is still in effect for all of our licensed facilities. LPM stated that they will send the Administrator and email providing the information for the (PIN) Provider Information Notice pertaining to the masking mandate.

LPM discussed an issue with Code Enforcement about an ADU. LPM stated that LPA was informed that it was not approved at the time. Administrator stated that they are not living in an ADU and that the ADU was not a part of the conversation. LPM stated that whenever there is an alteration to a facility (CCL) Community Care Licensing requires an updated facility sketch and an inspection from the Fire Inspector.

LPM discussed the staffing situation. Administrator stated that they had trouble staffing for many months. Administrator stated that they have placed professional ads and had hired 1 person who did not show up after being fingerprinted. Administrator stated that they recently hired a new staff which was a referral. LPM recommended Day Program staff. Administrator stated that they did reach out to local Adult Day