Senior Care Records.

Facility Evaluation Report

Hawaii Home INC, Union City01/28/2023Licence 019201049

Capacity6
Census2
Date signed01/28/2023 11:08:57 AM
The inspector’s account

On 01/28/2023 at 9:50AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Magalene David and explained the purpose of the visit. LPA text Administrator, Tyler Marcelo, and received return call at 10:50AM.

Upon entry, LPA's temperature was not checked. LPA observed screening station and mask sign on front door. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, back yard, kitchen, and garage. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at hand washing stations. LPA recommends step-on garbage cans for facility. Hot water temperature in the shared clients’ bathroom was measured at 134.5 degrees Fahrenheit. Fire extinguisher last serviced on 10/4/2022. 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 infection control plan on file. LPA observed paper supplies are sufficient.

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