Facility Evaluation Report
On October 3, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival, LPA observed the COVID-19 signage posted at the front entrance. LPA met with Licensee, Fatollah Glichloo and Administrator, Russlyn Guevarra joined shortly thereafter. LPA explained the purpose of the visit. LPA was screened at entry point and Licensee was able to provide staff, visitor, and resident screening log documentation.
LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story home with 3 resident bedrooms, 2 full bathrooms, and an office room. LPA toured the facility with the Licensee and observed living room and dining room to be clean and free from any tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. During the visit, there were no residents present. According to the Licensee, all residents were at their day program.
LPA toured the resident rooms and observed all 3 resident rooms to be single rooms. LPA observed 2 full bathrooms to be equipped with liquid soap, paper towels, hand-washing signs, non-skid mats, and a trash can with a fitted lid. Bathrooms were odor-free and in good repair. LPA observed extra linen present. LPA toured the kitchen and observed 2 day perishable and 7 day non-perishable. Sharps and medications were observed to be locked and inaccessible to residents.
LPA toured the garage and observed chemicals and toxins to be locked. In addition, LPA observed washer and dryer to be in good working condition and observed extra food supply present. 30-day PPE supply was present. The garage is the central entry point for all visitors and staff.
Infection control practices are observed: entry procedures, daily monitoring log for staff, residents and visitors, 30-day PPE supply, face coverings for staff, containment strategies, staff training and policies.
No citations will be issued during this visit. Report is reviewed with Licensee and a copy is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction