Facility Evaluation Report

On 02/07/2025 at 02:45 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a required Annual Inspection after an attempted visit at 11:30 AM. LPA was greeted by upon entry and explained the purpose of the visit to Administrator, Joann Barradas.

Facility has a COVID-19 Infection Control Plan and mitigation plan on file. LPA requested a staff and resident roster. LPA observed a screening station at the entry that contained a thermometer, hand sanitizer, masks, gloves, gown, COVID-19 signage, and a sign-in log. LPA toured the facility including, but not limited to common areas, bathroom, kitchen, storage area and backyard. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap, paper towels and covered garbage cans. There is a surplus of PPE stored in a centrally located place inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 113.5 degree Fahrenheit (F) and the facility's temperature was 77 degree (F). Fire extinguisher was observed full and last inspected on 11/04/2024. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete.

The following forms are to be updated and submitted to CCLD:

-LIC308 Designation of Administrative Responsibility (Reviewed)

-LIC610 Emergency Disaster Plan (Reviewed)

-An updated copy of Administrator Certificate (Reviewed)

Exit interview conducted and a copy of this report provided.