Facility Evaluation Report
On August 4, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced infection control inspection. LPA knocked on the door 2x but there was no response. LPA observed two cars parked in the driveway. LPA called Administrator, Aldrin Eliseo and he indicated that residents are in their day program and staff are not present at the facility.
On August 31, 2022, Licensing Program Analyst (LPA) Komal Charitra re-attempted to conduct an unannounced infection control inspection visit. LPA met with Administrator, Aldrin Eliseo and explained the purpose of the visit. Upon arrival LPA observed the COVID-19 signage posted at the front entrance and was screened at entry point. Administrator was able to provide LPA with screening log documentation for residents, staff and visitors.
LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story facility with 4 private resident rooms and 2 full bathrooms. LPA observed both bathrooms to be equipped with liquid soap, paper towels, hand washing signs, and a covered trash can. Infection control practices are reviewed: COVID signage throughout the facility, face coverings, 30-day PPE supply, entry procedures, daily monitoring records for staff, residents and visitor.
LPA toured the living room and dining room and it was clear and odor-free. The living room was clear from any tripping hazards. A comfortable temperate was maintained and lighting is sufficient for comfort. LPA toured the kitchen and medications, toxins and sharps are stored appropriately and inaccessible to residents. Kitchen was equipped with liquid soap, paper towels, and hand washing signs. LPA observed 2 day perishable and 7 day non-perishable.
LPA observed the garage to have a working washer and dryer. Due to the COVID protocols, the facility has dedicated the garage to be the main entrance for all staff, visitors, and residents. LPA observed the locked toxins and chemicals in the garage and the extra food supply. According to the facility administrator, the facility conducts random COVID testing for staff and response testing for residents.
LPA requests the following forms to be sent to CCLD by 8/7/22:
No citations issued. Report is reviewed with Administrator, Aldrin Eliseo and a copy is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction