Facility Evaluation Report

On 09/09/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with caregiver Jessica Bravo. Administrator Rudolpho “Rudy” Galicia was contacted and stated unable to attend meeting. Administrator authorized caregiver to sign and received report. LPA conducted a facility tour with caregiver. House Manager Rosemary Bravo arrived shortly and conduct tour with LPA. There are currently two clients present during tour.

Upon entry facility staffs was observed with no face mask. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed social distancing and cough etiquette postings in facility.

Food supply was checked and appeared to be an adequate supply. LPA observed fire extinguisher served date: 05/02/22. LPA checked clients’ locked medications and observed a 30-day PPE supplies.

All clients’ room toured and observed to be adequately furnished and lit. LPA observed 1 shared client bed to be at least 6 feet apart and 3 single occupant room. All bathrooms observed trash bin with lid. LPA observed hand washing posting by all sinks. LPA and House Manager observed chemical bottle under bathroom sink in the main bathroom unlock. LPA and House Manager observed cover lid for the back of toilet bowl missing in main bathroom. Cleaning supplies were stored and locked in chemical closet in garage.

The exterior tour was conducted. Outside free of obstruction and debris. Staff records were reviewed for good health and infection control training. All clients’ records reviewed to have updated emergency contact information.