Senior Care Records.

Facility Evaluation Report

Four Diamonds, West Covina11/30/2023Licence 197608378

Capacity6
Census4
Date signed11/30/2023 04:07:22 PM
The inspector’s account

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to caregiver staff Virginia Villacorte. Administrator Helen Torres arrived shortly after. There are currently 4 elderly residents 60 years and older residing in the facility. Twelve 12 (CARE) tool domains were utilized during the inspection.

Infection control practices and Personal Protective Equipment (PPEs) were observed Staff are no longer wearing masks or screening visitors. A visitor sign-in station is still in place. The facility has submitted a COVID-19 Mitigation Plan and Infection Control Plan.

A current Plan of Operation was reviewed.

The facility has a Dementia Waiver in place. A Hospice Waiver for 6 is approved.

Facility has a fire clearance for 6 non-ambulatory adults 60 and over.

Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place and expires 6/2/2024.

A surety bond is not applicable. Facility does not handle resident's money.

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