Facility Evaluation Report

J&J Place, Antioch09/08/2021Licence 079200371

Capacity6
Census5
Date signed09/08/2021 03:32:19 PM
The inspector’s account

On 09/08/2021 at 02:25PM. Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Ruby Ortiz, Caregiver and explained the purpose of the visit. LPA spoke with Administrator/Licensee Jacqueline Tapia, via telephone. Administrator/Licensee gave approval for Caregiver to sign documents.

Upon entry, LPA's temperature was checked LPA observed screening station that contained hand sanitizer and surgical masks. LPA toured facility including but not limited to common areas, bathrooms, kitchen, and backyard. LPA observed cough etiquette and physical distancing signs posted in the common areas. All hand washing stations were equipped with soap, paper towel, garbage can with a lid, and hand washing posters were posted.

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

Exit interview conducted. A copy of this report provided.

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