Facility Evaluation Report

On 12/8/2022 at 9:35AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Alma Tubianosa , Caregiver and explained the purpose of the visit. LPA spoke with Licensee, Regina Lim, via telephone and approval was given for Caregiver to sign documents

Upon entry, LPA's temperature not checked. LPA observed screening station and COVID-19 signs were posted on the front door. 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 127.4 degrees Fahrenheit. Fire extinguisher last serviced on 11/7/2022. 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 paper supplies are sufficient.

Exit interview and a copy of this report provided.