Senior Care Records.

Facility Evaluation Report

Pavilion at el Dorado Hills, the, El Dorado Hills05/11/2022Licence 092700445

Capacity64
Date signed09/30/2022 02:01:06 PM
The inspector’s account

On May 11, 2022, Licensing Program Analyst (LPA) DeAnna William s-Lyons arrived unannounced to conduct an annual inspection. LPA met with Melisa Tiburcio, Executive Director, and informed her the reason for the visit.

Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask.

Melisa and LPA conducted the infectious control questionnaire with no issues.

Administrators certificate is current expiring ________________

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