Facility Evaluation Report

On 12/16/2022 at 09:30PM, Licensing Program Analysts (LPAs) L. Hall and C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPAs spoke with Administrator Joy Chu via telephone and explained the reason for the visit. Caregiver, Elvie Chu, arrived at 09:55AM.

Upon entry, LPA's temperature was checked. LPA observed COVID-19 signs were posted on the front door. Facility uses back entrance as main entrance and that is where the screening station is located. LPAs toured facility including but not limited to common areas, bathrooms, bedrooms, back yard, kitchen, and garage. LPAs 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 112.7 degrees Fahrenheit. Fire extinguisher last serviced on 09/30/2022. There is a minimum of 7-day non-perishables and 2-day perishables foods.

During record review, LPA observed visitors sign-in log. LPA observed facility has a copy of the Infection Control Plan on file. LPA observed PPE and paper supplies are sufficient.

Exit interview and a copy of this report provided.