Facility Evaluation Report

On 09/28/2022 at 9:11am, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Garden Grove Guest Home LLC. The purpose of today's visit was to conduct a Required 1 Year focusing primarily on the Infection Control. At 9:20am, LPA Cho was greeted by Caregiver Hoa Chinch who then led LPA to Receptionist/Medical Technician (MT) Sandra Monzon. MT Monzon notified Administrator (Admin) Ruth Tistoj of LPA's arrival. At 9:30am, LPA met with Admin and verified facility information. At 9:42am, LPA initiated a self-guided tour in the common areas after completing the Coronavirus 2019 (COVID-19) screening procedure and was later joined by Admin around 9:46am. As of today, there are no active COVID-19 cases in the facility. Facility screens and documents temperatures for visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs on the entrance door and throughout the facility. The Complaint Poster (PUB475) met the size requirement. The facility is licensed for forty-seven non-ambulatory residents and has a hospice waiver for twenty. There are thirty residents living in the facility and none are receiving hospice care as of today.

Around 9:46am, LPA Cho conducted a tour of the physical plant along with Admin Tistoj . The single story facility consists of the following areas which were inspected: TV/Game Room, Medicine Room, Board/Care Dining Room, Beauty Salon, Staff Break Room, Janitor's Closet, Laundry Room, and Kitchen (also shared by the Garden Grove Post Acute Skilled Nursing Facility (SNF) next door. There are a total of 24 bedrooms, 15 bathrooms, and 2 spa showers. LPA Cho along with Admin Tistoj randomly selected and inspected five resident bedrooms and bathrooms. 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 and grab bars were secure. The two spa 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.