Senior Care Records.

Facility Evaluation Report

Zamora Residence, Susanville06/08/2022Licence 185002039

Capacity6
Census6
Date signed06/08/2022 03:02:52 PM
The inspector’s account

6/08/2022 Licensing Program Analyst (LPA) Misty Valencia arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator Sara Williams and explained the purpose of the visit. Prior to initiating the annual inspection, 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 administrator 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: Surgical Mask

LPA Valencia and Ms. Williams toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (2) two bathrooms, (4) bedrooms kitchen and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA Valencia and the administrator completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection.

Exit interview conducted and copy of report was emailed to administrator Sara Williams.

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