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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700963
Report Date: 05/03/2022
Date Signed: 05/03/2022 11:23:24 AM


Document Has Been Signed on 05/03/2022 11:23 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:OARS AT GREENBACK LANE, THEFACILITY NUMBER:
342700963
ADMINISTRATOR:BELL, ORVILLEFACILITY TYPE:
740
ADDRESS:6550 GREENBACK LANETELEPHONE:
(916) 212-0388
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:54CENSUS: DATE:
05/03/2022
TYPE OF VISIT:Case Management - Health ChecksANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Pepper Bell, AdministratorTIME COMPLETED:
11:40 AM
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On 5/3/2022, Licensing Program Analyst (LPA) Michael Hood conducted an in-person health and safety check visit due to a COVID-19 outbreak and met with Administrator, Pepper Bell, Infection Preventionist Kristy Trausch, and Sacramento County Public Health Nurse Alexandra Noble. Prior to initiating the visit, LPA completed required COVID-19 testing protocols. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask.

LPA toured the facility, including but not limited to: first and second floor of facility, hallways, common areas, dining areas, kitchen, outdoor area, laundry rooms, and resident bedrooms and bathrooms. LPA observed residents' care needs were being met. LPA observed facility staff wearing N-95 masks. LPA observed sufficient PPE supplies and staffing at the facility.

Infection Preventionist recommended the following during visit:
· To conduct twice a week testing of all staff and residents with either Antigen Test X2 or with PCR X1 & Antigen X1 during outbreak
· To incorporate more social distancing measures in staff break room and dining areas
· To create a clear distinction in laundry rooms between clean and dirty items, as well as cover clean linens

Infection Preventionist did not express any concerns to follow-up regarding facility’s COVID-19 precautionary measures at conclusion of visit.

No deficiencies are being cited as a result of today's visit. Exit interview was conducted with Administrator.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Michael HoodTELEPHONE: 916-531-7341
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2022
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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