Senior Care Records.

Facility Evaluation Report

English Family Care Home, INC., Pomona10/06/2021Licence 198601183

Capacity6
Census2
Date signed10/07/2021 07:48:06 AM
The inspector’s account

Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA was allowed entry by Facility Administrator and explained the purpose of today's visit.

COVID-19 Infection Control Practices (including signs) were observed.

Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.

Per Administrator all staff and clients are fully vaccinated.

30 day supply of medication reviewed for (2) clients.

Staff responsible for direct care and supervision were observed wearing masks.

Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed.

Clients were socially distanced according to local public health guidelines.

Exit interview conducted, a copy of this report and Appeal Rights were provided to Facility Administrator.

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