Facility Evaluation Report

On 4/28/2022 at 1:05PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Gertrudes Sabadera, Caregiver and explained the purpose of the visit. Restituto Sabadera arrived at 1:30PM.

Upon entry, LPA's temperature was not checked. LPA observed screening station that contained hand sanitizer, masks and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared residents' bathroom was measured at 115.2 degrees Fahrenheit. Fire extinguisher was last serviced on 11/22/2021.

During record review, LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food, and paper supplies are sufficient.

The following forms are to be updated and submitted to CCLD by 5/5/2022 :

-LIC308 Designation of Administrative Responsibility