Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection at 1:35 p.m. This annual inspection had an emphasis on infection control practices and procedures. LPA Urena spoke with administrator Selva Banos on the phone, and explained the reason for the visit.

INFECTION CONTROL: Upon entry, the facility has a sign in book, thermometer to take temperature and sanitizing gel. Infection Control signage was visible at entrance.

At 1:45 p.m., the LPA and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The dining room furniture was observed to be in good condition. The LPA observed a fire extinguisher in the kitchen area to be fully charged and operational. The LPA observed sharp objects and toxins to be locked away and inaccessible to residents.

BEDROOMS: The facility has three residents’ bedrooms, and one staff bedroom. All bedrooms were furnished appropriately with clean linens, furnishings and sufficient lighting. One bedroom had double occupancy, one single occupancy, and one empty.