Senior Care Records.

Facility Evaluation Report

Jefferson Home, Madera12/02/2022Licence 207209194

Capacity6
Census4
Date signed12/05/2022 08:58:27 AM
The inspector’s account

On 12/02/2022, Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct the required Annual Infection Control Inspection. LPA was greeted by Administrator Julia Posas and was allowed entry into the facility.

LPA observed a central entry point with hand sanitizer. Census was verified to be 4. AD asked LPA Covid screening questions and temperature was taken.

LPA observed 2 of the 4 residents at the facility in common areas of the facility. The other 2 residents were at Day Program.

LPA toured facility inside and out. LPA observed Kitchen clear and free of clutter. Knives and medication were lock and inaccessible to residents. Chemicals are kept in a lock area. Facility has 2 days worth of perishable food and 7 days worth of nonperishable foods.

Facility has 4 bedrooms and 2 bathrooms. Each resident has their own room. Bedrooms were also observed with each resident having closet space and drawers.

Outside of facility was observed and exits are free of any obstructions.

Water temperature was checked and is reading 117-degree. Fire extinguishers were observed and are in good standing. Covered trash bins were observed. LPA did observe supply of PPE, AD was informed to have gowns on site. LPA will follow up if CCLD will provide gowns or not.

No deficiencies cited on today’s inspection.

Copy of 809 was provided to AD. Exit interview conducted.

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