Senior Care Records.

Facility Evaluation Report

Holly's Care Home, San Jose02/07/2022Licence 435202696

Capacity6
Census5
Date signed02/07/2022 04:08:32 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo, Licensing Program Manager Sarah Yip, and Nurse Lori Kopplinger conducted a tele-visit via Zoom to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility and met with Administrator Ana Luisa Mejia.

Administrator Ana Luisa Mejia reports that there are currently 0 COVID-19 positive residents and 0 COVID-19 positive staff.

During today's tele-visit, the following recommendations were made to the facility by Nurse Lori Kopplinger:

1. Post sign at entrance with list of COVID symptoms

2. Add place to record temperatures on visitor screening forms

3. Record staff symptoms as well as temperatures

4. Use foot-operated lidded trash can in bathrooms

6. Place available fruit in kitchen area in a container

7. Use disinfectant with a two minute or less contact time

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

This report was reviewed with with Ana Luisa Mejia. A copy of the report will be sent to her for to be signed and returned to CCL.

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