Senior Care Records.

Facility Evaluation Report

Plumeria Gardens # 1, Chula Vista08/30/2021Licence 374602011

Capacity4
Census2
Date signed08/31/2021 08:22:16 AM
The inspector’s account

Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an annual required licensing inspection. This annual inspection was focused on infection control due to the COVID-19 pandemic. LPA was greeted by Licensee, Robert Armstrong and Caregiver, Rosalinda Quizon and granted entry after identifying herself. LPA Hamilton explained the purpose of the visit with both Licensee Armstrong and Caregiver Quizon. This facility serves four (4) clients age 18-59; all of whom may be ambulatory.

During today's visit, LPA toured the facility, and verified compliance with infection control practices. LPA, Licensee Armstrong and Caregiver Quizon reviewed the facility’s COVID-19 Mitigation Plan Report. LPA observed one central entry point; routine symptom screening initiated at entry for clients and visitors; a sign-in policy enacted for all visitors; signs throughout the facility to promote hand hygiene, face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; and an adequate supply of PPE and disinfectants. LPA discussed the Provider Information Notice (PIN) regarding updated guidance on visitation.

Based on today's visit, no deficiencies were observed in the areas evaluated above. An exit interview was conducted with Licensee Armstrong and a copy of this report along with the Licensee/Appeal Rights (LIC 9058) was provided via email. An electronic receipt of confirmation was requested to be sent upon receipt of the documents.

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