Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an unannounced infection control annual inspection. LPA met with Claudia Martinez ,staff, and informed the purpose of visit. LPA called and spoke with Alanna Spencer, administrator, who authorized Claudia to be with LPA during inspection. Alanna arrived after about 30 minutes.

Facility has LIC808 Mitigation Plan on file.

LPA inspected the living room, dining area, kitchen, bathrooms, bedrooms, laundry area, front 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 but not recorded. . Residents and staff are screened for COVID-19 symptoms an d temperature checked daily but does keep record . Supplies of PPEs checked. Antigen test kits are readily available.

Fire extinguishers checked, observed fully charge with tags showed serviced March 10, 202 1. Administrator called provider for schedule of service for extinguishers on this same day. First aid kit was observed complete with manual. Hot water temperature in the bathrooms was tested.