Senior Care Records.

Facility Evaluation Report

Sivilay Elderly Home Care, Pittsburg12/08/2022Licence 075601016

Capacity6
Census3
Date signed12/08/2022 01:11:37 PM
The inspector’s account

On 12/08/2022 at 10:35AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Noupane Temple, Administrator and explained the purpose of the visit.

Upon entry, LPA's temperature was not checked. LPA did not observe screening station. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, back yard, kitchen, and garage. LPA 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 127.7 degrees Fahrenheit. Fire extinguisher last serviced on 9/16/2022. There is a minimum of 2-day perishables foods and 7-day non-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 food and paper supplies are sufficient.

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