Senior Care Records.

Facility Evaluation Report

Elias Place, Antioch09/09/2022Licence 079201101

Capacity6
Census4
Date signed09/09/2022 11:11:32 AM
The inspector’s account

On 9/9/2022 at 10:30AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Yohandra Guilarte, House Manager. and explained the purpose of the visit. Administrator Rene Rodriguez arrived at 10:50AM.

Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs were posted on the 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. Hot water temperature in the shared clients’ bathroom was measured at 112.5 degrees Fahrenheit. Fire extinguisher last serviced on 6/7/2022. There is a minimum of 7-day non-perishables and 2-day perishables foods.

During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Infection Control Plan on file. LPA observed PPE, food, and paper supplies are sufficient.

Exit interview conducted and a copy of this report provided.

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