Senior Care Records.

Facility Evaluation Report

Jade's Home, Fremont10/07/2022Licence 019200466

Capacity4
Census4
Date signed10/07/2022 03:49:05 PM
The inspector’s account

On today’s date, 10/7/2022, at 2:40 PM, Licensing Program Analyst (LPAs) L. Fici arrived unannounced to conduct Infection Control Inspection. LPA met with Gina Rafael, administrator (ADM) and explained the purpose of the visit.

During the inspection, LPA toured facility including but not limited to common areas, hand washing stations, bedrooms, bathrooms, kitchen and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed PPE's are plentiful. Food and paper supplies are sufficient. Hand sanitizer is provided at facility entrance. Fire extinguisher was last serviced on 4/27/2022. LPA observed facility passages inside and out are free of obstruction. Smoke and carbon monoxide detectors were observed and maintained. Common areas are disinfected 3 to 4 times a day.

During record review, LPA observed facility has a copy of Mitigation Plan and emergency disaster plan on file.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction