Senior Care Records.

Facility Evaluation Report

Escueta Care Home 3, INC., Hayward05/11/2022Licence 015601295

Capacity4
Census4
Date signed05/11/2022 07:12:02 PM
The inspector’s account

Licensing Program Analyst (LPA) Delmundo conducted an unannounced infection control annual inspection. LPA was granted entry by staff, Ernesto Cochico. LPA met with Soledad Escueta, assistant administrator, and informed the purpose of visit. LPA also met with other staff, Joana Tiglao.

Facility has LIC808 Mitigation Plan on file.

LPA toured the facility inside out with Soledad Escueta. LPA inspected the living room, dining area, kitchen, bathrooms, 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, surgical masks and no touch temperature probe. Visitor's temperature and symptom checks are done at entry and recorded. Residents and staff are screened for COVID-19 symptoms and temperature checked daily and recorded. Supplies of PPEs checked and observed adequate for 30 days for staff. All trash bins were observed with foot operated pedal lids. Antigen test kits are readily available. COVID-19 signages were posted in prominent areas in the facility.

Fire extinguisher checked and observed fully charge with tag showed serviced March 31, 2022. First aid kit was observed complete with manual. Hot water temperature in one of the bathrooms tested and measured at 106.5 degrees Fahrenheit. Carbon monoxide and smoke detectors were operational.

At 5:03 pm, LPA observed staff's medications and supplements stored in unlocked closet close to the dining area.

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