Facility Evaluation Report

Grace Care Home, Antelope09/09/2021Licence 342700771

Capacity4
Census2
Date signed09/09/2021 04:50:21 PM
The inspector’s account

Licensing Program Analyst (LPA) Williams arrived at the facility unannounced on 09/09/2021 to conduct a Required 1- Year Inspection utilizing the infection control domain. LPA met with Administrator, Gracia Palafox, and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted licensee and completed a facility risk assessment. LPA ensured he applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by facility staff upon entering the facility.

LPA and staff toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, three (3) resident bedrooms, one (1) bathrooms, kitchen, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and administrator completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.

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