Senior Care Records.

Facility Evaluation Report

Hayward Holy Infant Residential Care Facility, Union City12/23/2022Licence 019200055

Capacity6
Census6
Date signed12/23/2022 03:00:44 PM
The inspector’s account

On 12/23/2022, at 1:05 PM, Licensing Program Analyst (LPA) L. Fici arrived unannounced to conduct an Annual Infection Control Visit. LPA was greeted by Julieann Carrillo , care staff and explained the purpose of the visit. Administrator SIMPORIANA P. JUGARAP, gave consent to care staff to tour and sign the report on her behalf.

During the inspection, LPA toured facility including but not limited to front entrance, common areas, hand washing stations, bedrooms, bathrooms and back yard. LPA observed COVID-19 signage throughout the facility. Hand washing signs were posted at hand washing stations. LPA observed paper supplies and PPEs are sufficient. All sharps and toxins were locked up and inaccessible to clients in care. Common areas are disinfected frequently throughout the day. Water temperature is measured at 113.3 Degrees F. Fire extinguisher was last serviced on 7/11/2022. Facilities room temperature is maintained at 71 Degrees F. First aid kit is complete. Carbon monoxide and smoke detectors are functional. Facility passages inside and out are free of obstruction and does not pose a health and safety risk for persons in care.

During record review, LPA observed facility has a copy of their Infection Control Plan and Disaster Plan on file.

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