Senior Care Records.

Facility Evaluation Report

Jenny's Board & Care, Santa Maria10/21/2021Licence 421703793

Capacity6
Census6
Date signed10/22/2021 08:55:14 AM
The inspector’s account

On 10/21/21 at 1:40 PM, Licensing Program Analyst (LPA) Toan Luong arrived at the facility and contacted Licensee/Administrator Jenny Perez via telephone to perform a facility risk assessment. LPA conducted an unannounced on-site One Year Infectious Control Annual visit to the facility. LPA met with Administrator Jenny Perez and explained the purpose of the visit.

Administrator took LPA on a physical plant tour of the facility. The facility has submitted a mitigation plan to the department.

The facility is an Adult Residential Facility. During the facility tour LPA advised posting CDSS PINs and have PINs readily accessible to residents, visitors, and staff. LPA recommended administrator have staff fit-tested with N95 masks. One room has beds not six feet apart. LPA advise rearranging beds to meet compliance.

LPA reviewed the Annual Mitigation Inspection Control Tool Module. Module was addressed with administrator to satisfaction.

Exit interview was conducted. No deficiencies were cited. Report emailed to administrator.

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