Facility Evaluation Report
On 5/22/2022 at 10:05AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Fernando Fernandez, Caregiver, and explained the purpose of the visit. LPA spoke with Administrator, Leea Burns and approval was given for Caregiver to sign documents.
Upon entry, LPA's temperature was checked and screening station was observed. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and back yard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap, paper towel, and hand washing poster. Hot water temperature in the shared clients’ bathroom was measured at 100.2 degrees Fahrenheit. Fire extinguisher was last serviced on 7/1/2021.
During record review, LPA observed facility has a copy of Mitigation Plan on file. LPA observed paper supplies are sufficient.
The following forms are to be updated and submitted to CCLD by 5/28/2022 :
-LIC308 Designation of Administrative Responsibility
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction