Senior Care Records.

Facility Evaluation Report

Stanton Manor, Hayward01/29/2023Licence 019200240

Capacity6
Census6
Date signed01/29/2023 12:37:13 PM
The inspector’s account

On 01/28/2023 at 11:40AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Marlon Ampler, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Jose Reyes, for document signing approval.

Upon entry, LPA's temperature was not checked. LPA observe a screening station, and COVID signs on front door. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, back yard, kitchen, and garage. LPA did not observe cough etiquette and physical distancing posted in the common areas due to client's diagnosis facility not able to post. All hand washing stations were equipped with soap and paper towel. LPA recommended step on or automatic trash cans for kitchen and bathrooms. Hot water temperature in the shared clients’ bathroom was measured at 119.1 degrees Fahrenheit. Fire extinguisher last serviced on 1/17/2023. There is a minimum of 7-day non-perishables and 2-day perishables foods. Smoke/carbon monoxide detector operable.

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

LPA requested the following documents be submitted to CCLD by 2/6/2023:

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