Facility Evaluation Report

A Home 4 Wayne, INC. 2, San Jacinto05/19/2022Licence 331881036

Capacity4
Census0
Date signed05/19/2022 11:33:34 AM
The inspector’s account

On 05/19/2022 Licensing Program Manager (LPM) J. Harris and Licensing Program Analyst (LPA) V. Mixson arrived at 10:24 am on the above date to conduct the annual inspection. LPA's were greeted and granted entry by Administrator Pamela Watson's, son.

LPA Mixson explained the purpose of the visit and toured the facility with Administrator. Currently there are no residents living in the facility and no cases of COVID-19.

LPM and LPA toured the facility and made observations pertaining to the facility's infection control measures. LPM and LPA observed sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and the proper use of face coverings.

The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, and cleaning and disinfection provisions are in adequate quantities. LPA later discussed infection control practices and procedures with Administrator. Although there was a central entry point, no screening protocols were conducted. A Technical Assistance (TA) was provided.

An exit interview was conducted, and a copy of this report, along with the LIC 9102 was provided to Administrator.

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