Senior Care Records.

Facility Evaluation Report

Community Integrated Work Program, Antioch11/30/2022Licence 075600385

Capacity48
Census3
Date signed11/30/2022 01:20:25 PM
The inspector’s account

On 11/30/2022 at 12:30AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Monica Cardoza, Program Director, and explained the purpose of the visit.

Upon entry, LPA's temperature was checked. LPA observed screening station at entrance that contained hand sanitizer and sign-in log. LPA toured facility including but not limited to common areas, bathrooms, and kitchens. All hand washing stations were equipped with soap, and paper towel, and hand washing poster. Fire extinguishers last serviced 11/04/2022. Hot water temperature measured at 139.1 degrees F.

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

The following forms are to be updated and submitted to CCLD by 12/7/2022 :

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