Routine inspection·July 1, 2021

Licensing Program Analysts (LPAs) Fernandes-Goes & Hansen conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with Administrator/Licensee Libia Cruz-Leon. Residents were present at the facility due to COVID-19. Facility has 2 clients that day program has zoom activities, 2 clients do in home day program one on one zooms. Facility has puzzles and other activity plans for clients during the day. During LPA’s Fernandes-Goes & Hansen facility tour on 7/1/2021 with administrator Cruz-Leon; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 07/2020 at the time of the visit. Smoke Detectors & Carbon monoxide detector was found to be operational during the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were 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 (toxins & knives/sizers) were locked under kitchen sink inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. All client’s bedrooms have lighting & appropriate furnishings. Hot water temperature measured 105.9 degrees F, within acceptable regulations of 105 to 120 degrees F. Infection Control: Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility and entrance has small table with hand sanitizer and other items designated for visitors and staff before coming into work. Facility has PPE supply stored in the family area cabinet and garage. Facility has not hired or admitted anyone new since COVID-19. Clients’ medications are stored and locked by the garage area. Facility has a 30-day supply of medication for clients. Clients aren’t wearing masks inside the facility, however; staff stated that they are able to wear masks when going on outings. All staff had masks on during this visit. Continued on LIC809-C Department is requesting a copy of: Lic 400 Lic 402 facility Liability Insurance Copy of Lease to be submitted to RO Rohnert Park by July 8, 2021. There were no deficiencies cited at this time