Senior Care Records.

Facility Evaluation Report

CCC ARF, INC. DBA Nantucket Home #4, San Jose08/23/2022Licence 435202033

Capacity3
Census0
Date signed08/23/2022 10:19:09 AM
The inspector’s account

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. LPA met with Lead DSP, Nila Bautista. Administrator, Maria Cristobal was contacted but was unable to meet LPA at the facility.

No clients observed on-site during visit and was stated to be attending day program. LPA toured the facility to include the dining room, living room, bedrooms, bathrooms, kitchen, garage, and backyard. All fire exit routes were free and clear of obstruction. Sharp objects and toxins were observed secured.

Facility has a designated entry point for COVID symptoms screening and temperature check for all staff and visitors. Hand sanitizer made available at entry and throughout the facility. Bathrooms supplies with paper supplies, hygiene products, and hand washing sign. Facility staff clean and disinfect multiple times daily and as needed. LPA observed sufficient Personal Protective Equipment (PPE) supplies. The following signs observed to include the visitation policy, symptoms of COVID, stop the spread of germs, and social distancing. Staff are not N95 fit-tested. LPA reviewed the facility's procedures to isolation, testing, visitation, and infection control training.

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

This report was reviewed with Lead DSP, Nila Bautista and a copy of the report was provided.

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