Facility Evaluation Report

On 08/04/22 at 01:30 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an annual Infection Control Inspection. LPA was greeted by one staff upon entry and explained the purpose of the visit to the Administrator, Pablo DeLeon (ADM).

LPA obtained a resident roster and staff roster. LPA observed a screening station at the entry that contained, hand sanitizer, masks, gloves, COVID-19 signage. Advised to keep a thermometer and a visitor sign-in log at the entry. LPA toured the facility including, but not limited to common areas, bathroom, kitchen, garage, and backyard. LPA observed mask, cough etiquette, social distancing and hand washing signs posted throughout. ADM to post 20 seconds to hand washing sign in the kitchen and create an isolation cart for infection control. 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 centrally located inside the facility that is accessible to all care staff. Hot water temperature in the shared residents' bathroom was measured at 105.8 degrees Fahrenheit (F). Fire extinguisher was observed full and last inspected on 06/06/2022. 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)

-An updated copy of Administrator Certificate(s)

Exit interview conducted and a copy of this report provided to Pablo De Leon, Administrator.