Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Administrator Patty Blas. There were 5 clients present at the time of inspection. 4 of the 5 were waiting for Program transportation to come. In-person services have begun again, which they were excited about.

LPA arrived at the facility at approximately 9:00 AM and was screened at the door; information and screening questions are kept in a log. Staff and residents are also screened each day and kept in separate logs. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Clients' bedrooms, common areas, kitchen & food storage areas were inspected. Kitchen area was locked due to clients having PW. Two (2) Fire Extinguishers were found to be serviced on 03/18/2022 and fully charged at the time of the visit. Five (5) Smoke Detectors & one (1) Carbon monoxide detector were found to be operational during the visit. Detectors are checked monthly. Fire Drills are held monthly, the last one conducted on 2/1/2022. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator was properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet inside the garage. Dangerous items were stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. All clients' bedrooms have lighting & appropriate furnishings, and decorated to show the clients' interests.

Facility has submitted a mitigation program plan that was approved. Posters have been placed at entrance and by the kitchen. A small table with hand sanitizer and other items designated for visitors are placed at entrance/office table. Visitation is rarely occurring inside the facility; family usually sign residents out at the front door, however there is a nice visitation area in the back yard if required.

There were no deficiencies. No citations issued at this inspection.

Exit interview conducted with Administrator, Patty Blas.