Facility Evaluation Report

On 10/21/2022 at 2:10 PM, Licensing Program Analysts (LPA) L. Fici arrived unannounced to conduct an Infection Control Inspection. LPA met with LVN, Thena Valenzuela and explained the purpose of the visit. At 2:35 PM, Mario P. Rodriguez Administrator (ADM) arrived to facility and greeted LPA.

Upon entry, LPA’s temperature was checked and was asked screening questions. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, common areas, kitchen, garage, and outdoor area. LPA observed cough etiquette, physical distancing, and signs & symptoms posted in the common areas. All hand washing stations were equipped with soap, paper towel and garbage can with a lid. Hand washing signs were posted at sinks and bathrooms. Fire extinguisher is maintained and was last serviced on 1/3/2022. Water temperature is measured at 114.3.

During record review, LPA observed visitors log and temperature log for staff and clients. LPA observed facility has a copy of Infection Control Plan on file. LPA observed PPE’s, food, and paper supplies are sufficient.

Exit interview conducted with Administrator, appeal provided along with this report.