Facility Evaluation Report

On 09/13/2022 at 02:20 PM Licensing Program Analysts (LPAs) L. Holmes and M. Malik conducted an unannounced annual infection control inspection. LPAs met with Medication/Floor Staff, Jiena Guien and informed the purpose of visit. LPA L. Holmes spoke to Administrator Norma Tejero and Licensee Juliana Taburaz; both could not be present.Per LIC308, Jiena Guien can sign the report.

Facility has a completed COVID-19 mitigation plan and submitted to Community Care Licensing (CCL).

LPAs inspected the facility inside and out with staff. LPAs observed screening station located near the front entrance with visitor's log, hand sanitizer, gloves, masks, and no touch temperature probe. Routine symptom screening (+/-) temperature and symptom checks are done at entry for all staff and visitors. Residents are screened for COVID-19 symptoms and temperature checked daily. LPAs observed COVID-19 signages posted all throughout the facility. Medications are centrally stored in the a locked room. Centrally stored PPEs were unable to be inspected. There were at least 7 days of nonperishable and 2 days of perishable food supplies that were questionable in amount. The Cook stated that groceries are purchased twice a week and a new deliver is for 09/14/2022.

Fire extinguisher was observed fully charged and tag showed serviced November 12, 2021. Smoke and carbon monoxide detectors were operational. First aid kit inspected and observed complete with manual. Hot water temperature in the common bathroom tested and measured at 93.4 degree Fahrenheit (F).