Facility Evaluation Report

Licensing Program Analyst (LPA) conduct a required annual visit. This annual had a specific emphasis on infection control practices and procedures. INFECTION CONTROL: During today’s visit, the LPA spoke with the Co-Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening and sanitation station. All facility staff were observed with out a mask upon arrival. LPA reminded staff about the mask requirement then all staff (3) put on their mask.

The LPA observed a supply of Personal Protection Equipment (PPE). The PPE supply at the facility is not a 30 day supply. Mr. Banas stated that the bulk of the PPE is kept at the sister facility. LPA asked that Mr. Banas to transfer and maintain the 30 day supply of PPE at the facility. If needed Mr. Banas stated they are able to obtain additional supplies as needed. The facility has appropriate plans in place in the event of clients and/or staff showing symptoms of COVID or testing positive for COVID.

A toured of the physical plant areas inside and outside was conducted to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher appeared to be fully charged. Knives and cleaning supplies are stored in a locked cabinet under the sink. Kitchen appliances appeared to be in operable condition. Perishable and non-perishable food observed sufficient. The bedrooms for clients were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Restrooms observed clean, sanitary and in operating condition. Restrooms had sufficient hand soap and paper towels and appropriate hand washing signs. Living room and dining room furniture was observed to be in good condition. The LPA observed the required postings throughout the facility. The backyard patio is equipped with furniture for clients' use. Medications are stored in a locked closet in the hallway.

Pursuant to Title 22, California Code of Regulations, the following deficiency is cited (LIC809-D).

Exit interview conducted, copy of this report and appeal rights provided.