Facility Evaluation Report

On today’s date, 10/7/2022, at 1:10 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct Infection Control Inspection. LPA met with Fidela Balajadia, administrative assistant and explained the purpose of the visit. Maria Mendiola, Administrator shortly arrived at 1:46 PM and greeted LPA.

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. Water temperature is measured at 109.6 degrees F in common residents bathroom. Fire extinguisher was last serviced on 9/26/2022. LPA observed facility passages inside and out are free of obstruction. First aid kit was observed to be complete. 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 Infection Control Plan and emergency disaster plan on file.

Exit interview conducted with Administrator and a copy of this report provided.