Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced annual inspection focusing on infection control. LPA met with Care Staff Sisay Ambaye. LPA Rai spoke with Administrator Victoria Alejandro over the phone and informed her of the visit.

During visit, LPA Rai toured the facility to include the family room, 3 resident rooms, 2 bathrooms, kitchen, laundry area, dining area, garage and exterior. All fire exit routes are free and clear of obstruction. Toxins and sharp objects were secured.

Facility observed to have a designated central entry point to include a sign-in sheet and temperature check. Facility clean and disinfect twice daily and as often as needed. Bathrooms supplied with hygiene products and hand washing sign. Trash can with lid observed. LPA observed a sufficient amount of Personal Protective Equipment (PPE).

The following posters observed to include wash your hands and symptoms of COVID-19.

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

This report was reviewed with Care Staff Sisay Ambaye and a copy of the report was provided.