Senior Care Records.

Facility Evaluation Report

Ca National Mentor - Calero Home, San Jose10/11/2022Licence 435202005

Capacity5
Census3
Date signed10/11/2022 11:53:14 AM
The inspector’s account

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the annual inspection focusing on infection control. LPA met with house manager, Lilibeth Salazar.

During visit, LPA toured the facility to include the living room, kitchen, office space, resident rooms, bathrooms, laundry room, garage, and backyard. All staff observed wearing a face mask. Facility temperature maintained at 71 degrees Fahrenheit.

The facility has a designated entry point for symptom screening and temperature check for all visitors and staff. Hand sanitizer available at entry and throughout the facility. LPA advised to remove the no visitor sign posted at the front door. Bathrooms supplied with hygiene products, hand washing sign, and paper supplies. Trash can with lid observed in every room. LPA observed facility's Personal Protective Equipment (PPE) supplies. Facility staff clean and disinfecting multiple times daily and as needed. Staff are N95 fit tested. Staff are trained in infection control. LPA reviewed facility's procedures to visitation, isolation, reporting, and testing requirements. The following posters observed to include symptoms of COVID, required mask, cover your cough, and contact precaution.

No deficiencies were cited per California Code of Regulations, Title 22.

This report was reviewed with Lilibeth Salazar and a copy of the report was provided.

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