Facility Evaluation Report
On 09/29/2022, at 9:20 AM, Licensing Program Analyst (LPAs) L. Fici and C. Lin arrived unannounced to conduct Infection Control Inspection. LPAs met with Jevelyn Asilo, House Manager and explained the purpose of the visit. At 11:20 AM, Administrator (ADM), Shirley Bordon arrived to the facility.
During the inspection, LPAs toured facility including but not limited to common areas, hand washing stations, bedrooms, bathrooms, kitchen and backyard. LPAs observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPAs observed PPE's are sufficient. Food and paper supplies are sufficient. Hand sanitizer is provided at facility entrance. Water temperature is measured at 108.4 degrees F. Fire extinguisher was last serviced on 1/21/2022. LPAs observed facility passages inside and out are free of obstruction. Smoke and carbon monoxide detectors were observed and maintained. Common areas are disinfected 2 times a day.
During record review, LPAs observed facility has a copy of Mitigation Plan and emergency disaster plan on file.
No deficiencies cited during visit. Exit interview conducted with ADM and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction