Facility Evaluation Report

Muriel's Residential Facility, Fremont02/15/2023Licence 015600502

Capacity6
Census3
Date signed02/15/2023 12:29:36 PM
The inspector’s account

On 2/15/2023, at 11:40 AM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Irene, Jenkins- Licensee and explained the purpose of todays visit.

During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days Non-perishable food supply. All sharps and toxins were locked up and inaccessible to residents in care. Common areas are disinfected 4 times throughout the day or as needed. Water temperature is measured at 109.9 Degrees F in common area bathroom. Fire extinguisher was last serviced on 9/12/2021. Facilities room temperature is maintained at 70 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care.

During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file.

Exit interview conducted with Licensee, and a copy of this report provided,

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