Facility Evaluation Report

On 04/01/2022, Licensing Program Analyst (LPA) Sandra Urena, arrived at the facility at 9:30 a.m., unannounced to conduct a required annual inspection. This annual inspection had a specific emphasis on infection control practices and procedures. LPA Urena met with staff Eleanor De La Cruz, and explained the reason for the visit. Staff called administrator Pacita Serrano on the phone, and the LPA explained the reason for the visit.

Infection Control: Upon entry, the facility had a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19.

At 10:00 a.m., LPA Urena and staff conducted a tour of the inside and outside the facility to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Common Areas: At 10:15 a.m., LPA Urena observed the walls and flooring to be in good condition. At the time of the visit, common seating area, and dining room furniture was observed to be clean and in good condition.

Kitchen: At 10:30 a.m., LPA Urena observed the kitchen/dining area. Knives are stored in a locked cabinet drawer. Kitchen appliances were in operable condition. The facility has enough supply of perishable and non-perishable food. Freezer and refrigerator are stocked with a variety of foods. Emergency food supply is adequate for six residents and two staff.