Facility Evaluation Report

On 12/20/2022 at 1:30PM, Licensing Program Analysts (LPAs) L. Hall and L. Holmes arrived unannounced to conduct an Infection Control Inspection. LPs met with Breinssel Edwards, Caregiver. LPAs spoke with Administrator Alfredo Limjoco, and was given approval to sign documents.

Upon entry, LPA's temperature was not checked. LPA observed screening station and COVID-19 signs were posted. LPA toured facility including but not limited to common areas, bathrooms stations, bedrooms, kitchen, garage and back yard. 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 133.2 degrees Fahrenheit. Fire extinguisher purchased on 05/17/2022. There is a minimum of 7-day non-perishables and 2-day perishables foods.

During record review, LPA observed visitors log. LPA observed facility has a copy of Infection Control Plan on file. LPAs observed food and paper supplies are sufficient.

Exit interview conducted. A copy of this report provided.