Facility Evaluation Report

On 09/19/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Care Celine. The purpose of today's visit was to conduct a Required 1 Year focusing primarily on the Infection Control. At 11:30am, LPA Cho was greeted and allowed entry by Staff #1 (S1). Per the Facility Personnel Report Summary, S1 was not on the roster. S1 indicated that S1 was shadowing for training purposes. S1 informed Staff Remedios Manuel David who then greeted LPA and completed the Coronavirus 2019 (COVID-19) screening procedure. As of today, there are no active COVID-19 cases. Facility screens and documents temperatures for visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs posted throughout the facility. The Complaint Poster (PUB475) met the Department's size regulation. The facility is licensed for six non-ambulatory residents and has a hospice waiver for six. There are currently five residents living in the facility of which five are receiving hospice care. The Administrator's Certificate for Cherry Aguila expires on 11/11/2022.

Around 11:43am, LPA Cho conducted a tour of the physical plant. Administrator (Admin) Cherry Aguila was returning from a grocery trip and arrived at the facility around 11:50am. LPA Cho immediately discussed the absence of S1's criminal record clearance. Admin was consulted the importance of having S1's fingerprint cleared prior to employment. Per Staff #2 (S2), S1 began shadowing on 09/19/2022 at 6:30am. At 11:56am, LPA observed S1 leaving the facility under the Admin's instruction. LPA reinitiated the tour with Admin Aguila. The two story home consists of five resident bedrooms and two resident bathrooms. There are two staff bedrooms on the second floor and one staff bathroom. The facility also has a living room, dining area, receiving area, kitchen, and an attached two car garage with a laundry area. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA observed hand washing signs in all bathrooms.