Facility Evaluation Report
Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection visit, and met with Administrator (ADM) Sashi Kumar. Upon arrival, ADM took LPA body temperature and checked LPA into the guest book. Screening station with thermometer, masks, hand sanitizer was observed at the main entrance. LPA observed 6 residents and 2 staff in facility.
LPA toured the facility inside and out with ADM. No COVID posters were observed on the main entrance door. ADM stated the facility will put the COVID posters on the main entrance door within 5 days. LPA inspected living room, family room, kitchen, dinning area, and laundry room. Medication closet, knives closet and cleaning product closet were observed locked. There are 3 bedrooms for residents, and one staff live-in room in facility. 3 bathrooms are in facility. Paper towels were observed with holders, Trash cans were observed without covers in 3 restrooms. ADM stated the facility will replace the trash cans with trash cans with covers within 5 days. Posters of washing hands for 20 seconds were not observed by the sinks in kitchen and restrooms. ADM stated the facility will put posters of washing hands for 20 seconds by the sinks in kitchen and restrooms. Cloth towels were observed in kitchen and restrooms. Room temperature was observed at 72 degree F, and hot water temperature was observed at 109 degree F. 2 days perishable food supplies and 7 days non perishable food supplies were observed sufficient. PPE supplies were observed sufficient.
The facility is equipped with fire alarm system, smoke and carbon monoxide detectors. ADM tested the smoke and carbon monoxide detectors, and they were working fine. The fire extinguishers were observed on service on 11/30/2022. LPA inspected the backyard, there was no obstruction to block the walkway. ADM stated all staff and residents are fully vaccinated and done with booster. ADM stated the facility already submitted the Infection Control. Plan to CCL office.
No citation noted during inspection. Exit interview was conducted with ADM. This report was provided to ADM for signature.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction