Facility Evaluation Report

Licensing Program Analyst( LPA) Elena Mallett made an unannounced Annual visit to the facility and was met by staff in charge, Renato. The purpose of the visit was explained. Administrator Roberto Camano was contacted by phone and approved staff in charge to conduct plant tour and sign for Licensing Report. Administrator joined the visit toward the end.

The facility is licensed to serve 4 residents, non-ambulatory residents, ages 60 and above.

The facility is a single-story home located in a residential area in Norwalk, Ca. A tour of the facility includes: living room, kitchen, dining area, 4 bedrooms 1 resident bathroom and 1 staff bathroom. There is front yard, back yard and detached garage.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today’s visit and the initial visit and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents’ medications. Staff are cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility and a designated Infection Control Lead.

. Physical Plant & Environment Safety: LPA toured facility. The facility is well maintained and walkways and hallways are free of debris and obstruction. Residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available.