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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317005628
Report Date: 12/11/2020
Date Signed: 12/11/2020 04:51:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:ESKATON LODGE GRANITE BAYFACILITY NUMBER:
317005628
ADMINISTRATOR:DELGADO, KIMBERLY (KIM)FACILITY TYPE:
740
ADDRESS:8550 BARTON RDTELEPHONE:
(916) 789-0326
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:118CENSUS: DATE:
12/11/2020
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Tighe Hammam (VP of Residential Services)TIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Konnor Leitzell conducted a conference call with Eskaton Lodge Granite Bay regarding the requirement of wearing face masks within the facility at all times. Laura Munoz (RM), Troy Ordonez (LPM), Tighe Hammam(VP of Residential Services), and Dina Jones (Life Enrichment Director) were on the call. This call was conducted via Tele-conference due to COVID-19 precautionary measures.

During the call, Laura stated the Regional Office has received notice that staff were not properly wearing face coverings when inside the facility. Going on to state the regional office has been given authority to cite if witnessing facemask violations within a facility. PIN 20-23 was reviewed to discuss the requirement for face masks to be worn, as well as discussing what constitutes as an exception to this requirement.



Mr. Hammam stated this comes as a surprise, stating staff are very good at wearing masks at facility. Mr. Hammam went on to speak on three staff members that have health conditions that allows them to be exceptions to the requirement. These staff have been wearing other acceptable means of face coverings. Tighe stated staff are diligent on wearing not only face masks, but also full face shields when at facility due to the possible exposure.

It was discussed that moving forward, if staff are seen to be incorrectly wearing facemasks there will be repercussions.

CCLD thanked both Tighe Hammam and Dina Jones for their time. Exit interview conducted and report sent to Tighe Hammam for review and to be signed and returned by COB 12/14/2020. Facility shall keep one signed copy for their files.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Konnor LeitzellTELEPHONE: (916) 708-9618
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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