Facility Evaluation Report

On 09/11/24 around 2:50 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit. Mariano Alatorre, Interim-Administrator (ADM) was telephoned by the staff member and arrived about 20 minutes later.

Facility has a COVID-19 and Emergency Disaster Plan. LPA reviewed five (5) resident files and four (4) staff files. LPA observed a sign-in log at the entry. LPA and ADM toured the facility including, but not limited to common areas, bathroom, kitchen, front and side pathways. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap and garbage cans. ADM to add paper towels to shared bathroom. There is a surplus of PPE stored centrally located inside the facility that is accessible to all care staff. The facility's temperature was 75 degrees (F). Fire extinguisher was observed full and replaced during visit with newly tagged ones. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete.

The following forms are to be updated and submitted to CCLD:

-LIC308 Designation of Administrative Responsibility

-LIC610E Emergency Disaster Plan (Reviewed)

-An updated copy of Administrator Certificate(s) (Reviewed)