Senior Care Records.

Facility Evaluation Report

Caremax, INC. - Delganado House, San Rafael02/17/2023Licence 216800414

Capacity6
Census4
Date signed02/17/2023 01:33:51 PM
The inspector’s account

On 2/17/2023, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Licensee, Willie Yang and Administrator, Agnes Dizon. The facility currently provides care for 4 clients all of which were attending day program at the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Licensee and Administrator; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher located in the garage was found to be last charged on 11/4/2022 at the time of the visit. Smoke and carbon monoxide detectors in client bedrooms and throughout the facility are interconnected and were inspected and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations with balanced meals and alternative options for clients. Food was found to be stored properly with labeled dates and containers to ensure food quality. LPA conducted a sample file review for 4 out of 4 staff and found all staff to have current CPR and 1st Aid certification on file.

Toxins are stored in a locked cabinets located in the garage and found to be secured. There was a supply of hygiene products and paper products available and provided to clients upon request. Facility has sufficient amount of PPE and sanitation supplies including restrooms equipped with paper towel and soap dispensers. All client bedrooms have lighting & appropriate furnishings. Medications are delivered directly to the facility and found to be stored in designated cabinet located in the garage. During the inspection LPA observed 2 out of 2 window screen separating from the frame. However, screen mesh is not damaged or torn and Licensee repaired items during the visit.

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