Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Inspection focusing on Covid-19 guidelines. Covid-19 Infomational Postings were on the front door and throughout the house.

Administrator Alma Almario received LPA at the door, taking temperature and asking Covid-19 screening questions and documented them in a binder. Administrator then took LPA on a tour of the facility. There are 6 residents. All are participating in day programs either on line or in the community. Residents help with chores and participate in daily living activities, including caring for a new dog. Administrator was interested in knowing about raising chickens in the City of Woodland.

There is a hard-wired fire alarm system and 2 carbon monoxide detectors. There is also a fire extinguisher, last serviced 09/03/2021. The water temperature measured 108.8 F.

There was a month's supply of PPE and covered trash bins in case of isolation and quarantine of resident/s. There was also a month's supply of medications for each resident, which is stored in a locked medication cabinet.

Each staff person has a valid First Aid/CPR card.

No deficiencies during today's inspection.

Exit interview conducted with the Administrator.