Senior Care Records.

Facility Evaluation Report

Caremax, INC. - Quietwood Home, San Rafael01/27/2023Licence 216801961

Capacity4
Census4
Date signed01/27/2023 02:51:32 PM
The inspector’s account

At approximately 12:15PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required - 1 Year visit, and met with Staff Member, Jocelyn Farreau. Administrator, Willie Yang, arrived later during visit at approximately 12:30PM. The inspection is focused on the Infection Control procedures and practices of this facility.

Upon arrival at the facility, LPA had their temperature checked and logged. LPA answered a standard COVID-symptom questionnaire. LPA conducted a walk-through of the facility and observed the following: COVID-19 signs were observed at the entry way and throughout the facility. All staff present were observed to be wearing a mask. The facility was found to be clean and at a comfortable temperature with all exits free from obstruction.

Facility has a cleaning and disinfecting schedule that occurs daily. Facility has at least a 30-day supply of Personal Protective Equipment (PPE) and medication for Clients. Staff and Clients are screened daily for COVID-19 symptoms and it is logged into facility binders.

LPA and Administrator discussed staffing, N-95 fit-testing, activities, PPE, and training. Facility has a plan in place if a staffing shortage were to occur. Facility has submitted their Mitigation/Infection Control Plan to Community Care Licensing (CCL).

Fire extinguishers were last serviced November 2022. The last facility fire and evacuation drill was conducted in January 2023. Smoke Detectors and Carbon Monoxide alarms were tested and operational.

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