Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with staff, Gerald Garcia and Marlyn Joaquin, and informed the purpose of visit. Josefina 'Josie' Booker, administrator, arrived after about 16 minutes followed by Leticia 'Lettie' Velasco, licensee/

Facility has LIC9282 Infection Control Plan and approved LIC808 Mitigation Plan.

LPA started inspection with Gerald Garcia, and continued with Josefina Booker. LPA inspected the living room, dining area. family room, kitchen, hallways, residents bedrooms, side and backyard. There's adequate food supplies of perishables good for 2 days and non-perishables good for 7 days.

LPA observed screening station by the front entrance with hand sanitizer, no touch temperature probe. Facility has Visitor's log. Facility keeps record of proof of vaccination of residents and staff. Supplies of PPEs checked. Facility has antigen test kits readily available. COVID-19 signages were observed throughout the facility. Bathroom lavatories were observed with liquid soap.

Fire extinguisher checked, and observed fully charge with tag showed serviced July 28, 2022. Hot water temperature in the common bathroom was tested.

1. Hot water temperature at 134 degrees Fahrenheit.