Facility Evaluation Report

New Bellevue Manor, Hayward10/27/2022Licence 019200139

Capacity12
Census7
Date signed11/21/2022 03:10:46 PM
The inspector’s account

On 10/27/2022, at 9:20 AM, Licensing Program Analyst (LPA) Liridon Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Care Staff, at front door entrance. At 10:10 AM, Juliana Taburaza , Administrator (ADM) arrived and met with LPA.

During the inspection, LPA toured facility including but not limited to front entrance, kitchen, common areas, hand washing stations, bedrooms, bathrooms, and backyard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. Facility has a sufficient 2-day perishable and 7-days non-perishable food supply. All sharps and toxins were locked up and inaccessible to clients in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 119.9 degrees F. Fire extinguisher was last serviced on 10/18/2022. Facilities room temperature is maintained at 73 Degrees F. First aid kit is complete. Carbon monoxide and smoke detector are operable. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care.

During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file

No deficiencies cited during today's visit.

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

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