Facility Evaluation Report
On 04/22/22, Licensing Program Analyst (LPA) M. Medina arrived at the above facility unannounced to conduct an Infection Control Inspection. LPA was met Administrator, Jose De La Cueva. LPA observed staff, visitor, and resident log-in/temperature check upon entry.
All residents were at day program during today's inspection. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms were stocked with paper towels and liquid soap. Hand washing posters observed in the kitchen area and near the bathroom sink. Bedrooms were checked. Facility bedrooms are single occupant.
LPA observed medication to be locked and secured. Food supply was checked and there appeared to be an adequate food available for the residents in care. Cleaning and PPE supplies were checked, all items are locked and secured in staff office. Fire extinguisher present with a service date of 1/06/22. Smoke detectors and carbon monoxide detectors observed operational during today's inspection.
Jose De La Cueva serves as facility Administrator, Certificate #6033212735, expires 1/12/23. CPR/First Aid expires 2/18/21.
LPA received copies of Administrator Certificate, CPR/First Aid, LIC 308, LIC 309, LIC 500, LIC 610D, LIC 9020, LIC 9148, Surety Bond, and Neighborhood Complaint Policy.
No deficiencies observed during today's inspection. Exit interview conducted. A copy of signed report given to Administrator at conclusion of inspection.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction