Senior Care Records.

Facility Evaluation Report

Good Samaritan Residential Care Facility, Hayward10/23/2022Licence 019200020

Capacity6
Census6
Date signed10/23/2022 03:57:25 PM
The inspector’s account

On 10/23/2022 at 3:15PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Elinita Miranda, Caregiver, and explained the purpose of the visit. LPA spoke with Administrator, Franklin Bautista via telephone and was given approval for Caregiver to sign documents.

Upon entry, LPA's temperature was not checked. LPA did observed screening station on front porch and COVID-19 signs were posted on the front door. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, backyard, kitchen, and garage. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. Hot water temperature in the shared clients’ bathroom was measured at 119.5 degrees Fahrenheit. Fire extinguisher purchased on 5/17/2022. There is a minimum of 7-day non-perishables and 2-day perishables foods.

During record review, LPA observed facility has a copy of the mitigation plan on file. LPA observed food and paper supplies are sufficient.

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