Facility Evaluation Report

Licensing Program Analyst (LPA) Calzada arrived unannounced to conduct a required annual inspection and conduct a collateral visit to interview Co-Administrator regarding an open complaint at a related facility, 347005340.

LPA met with Amalia Eslao, caregiver, who contacted Co-Administrator by phone to advise of inspection. LPA explained purpose of inspection to caregiver. Co-Administrator, Maria So, arrived at the facility at approximately 2:40 pm. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical Mask. Co-Administrator Helen Yee arrived at approximately 3:00 pm.

During today's collateral inspection, LPA interviewed Helen Yee, Co-Administrator, regarding the allegations in open complaints # 25-AS-20210510100407 and # 25-AS-20210519111407.

There are no deficiencies being cited in this report.

Exit interview. Copy of report left at facility.