Facility Evaluation Report

On 11/15/2022, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Rowenda Parado and explained the purpose of the inspection.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies. There are 2 residents present during the inspection.

This is a single level facility with 5 bedrooms. The 3 semi-private room with beds observed to be 6" apart or 3 feet apart with head-to-toe orientation. PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and LPA recommended to replace the cloth towel to paper towel. Hand washing instructions posted by the sink. COVID-19 signs are observed at the facility.

Medications, and toxins stored appropriately and inaccessible to residents. A comfortable temperature is maintained, lighting is sufficient for comfort and safety. First-aid kit is inspected and complete.

During the inspection, the caregiver reported the facility's administrator is Leah Ruiz and LPA requested for documents to update the administrator: . A written letter from the Licensee appointing the current administrator, LIC 500, LIC 501 and LIC 308 to be submitted to CCL by 11/18/2022.

This report is reviewed and discussed with the caregiver. A copy is provided.