Facility Evaluation Report

Licensing Program Analyst (LPA), Shannan Hansen arrived Unannounced at Terra Linda Christian Homes, Inc #5 for the purpose of conducting a Required 1 year Infection inspection. LPA was greeted at the door by Care Giver, Mai Portacio. Licensee, Ana Belle Bautista arrived 20 minutes later. Facility has 6 residents, 4 with dementia, and 2 on hospice.

LPA toured the facility with licensee, Ana Belle Bautista. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on 04/07/2022 at the time of the visit. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Water temperature in resident's bathroom faucets measured between 106.1 degrees F and 120 degrees F which are within acceptable range of Title 22 Regulations of 105 to 120 degrees F. The facility serves residents with dementia and has a plan of operation for special care and programming. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in locked hallway closet above washer. The bathrooms designated for residents at the facility were supplied with individual paper towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. All bedrooms have lighting & appropriate furnishings. Medications are centrally stored in locked cabinet in kitchen but on today’s inspection there were also medications stored in separate kitchen drawer without lock, accessible to residents in care (see LIC 809D). Sharps in kitchen drawer were also unlocked and accessible to residents in care (see LIC 809D).

Facility has submitted a mitigation program plan and infection control plan. Posters have been placed at facility and entrance has hand sanitizer and other items designated for visitors and staff before coming into facility. Facility has PPE supply stored in backyard storage.