Senior Care Records.

Facility Evaluation Report

Phiba Home, Winnetka03/04/2022Licence 197610247

Capacity4
Census0
Date signed03/04/2022 11:17:29 AM
The inspector’s account

A Pre-Licensing & Infection Control visit was conducted today by Licensing Program Analysts (LPA) Michael Cava. LPA met with the administrator, Herbert Amanya and stated the purpose of the visit. This is a change in location application. Currently the facility is vacant

The tour of the physical plant was conducted at 9:00am and the following were noted:

The main door is the only entrance being utilized for entry. LPA has advised the applicant to insure that there will be a sign on the door that everyone entering at the facility must wear a mask and must be screened. The screening area is located near the entrance. LPA observed a sign in sheet, hand sanitizer, gloves and masks. LPA was screened by staff upon entry. All staff were observed to be wearing a mask.

The facility submitted an approved Mitigation Plan and it was approved on 3/21/21 for it's current licensed facility located in Sylmar (facility #197607849).

Signs to wear a mask and other COVID 19 prevention protocol signs were posted on the walls. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with covers.

The facility has a designated visitor's area at the backyard. The facility has a sufficient supply of PPEs.

Bathrooms: LPA toured resident bathrooms and checked to make sure bathrooms were clean and in good repair. The hot water temperature measured at 120 degrees F. Towels and washcloths will not be shared. The licensee will supply a sufficient amount of personal hygiene items.

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