Senior Care Records.

Facility Evaluation Report

Mar Vista Manor, Pasadena03/01/2022Licence 198601500

Capacity6
Census5
Date signed03/01/2022 02:07:08 PM
The inspector’s account

Licensing Program Analyst(s) LPA Flores conducted a case management COVID 19 visit during a plan of correction visit (POC). LPA Flores met with Kimberly Isaac Assistant Administrator and explained the reason for the visit.

On 3/1/22 during POC visit LPA Flores did not observed a screening area upon entrance to the facility. Staff took LPA's temperature and upon walking to the dining room staff provided a signing sheet with date, name, reason for visiting, and signature. LPA Flores asked if there was an additional signing sheet and staff stated "no". No screening questions or temperature log was observed for visitors. LPA Flores did not observed paper towels in bathroom #2.

During the annual visit on 2/15/22 facility was provided technical advisories regarding infection control recommendations and guidelines.

Deficiencies are noted on LIC 809D under Title 22 Division 6 Chapter 1.

Exit interview was conducted with Kimberly Isaac Assistant administrator and a copy of this report, LIC 809D,and appeal rights have been provided.

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