Senior Care Records.

Facility Evaluation Report

Loupe Adult Residential Facility INC., San Jose02/03/2023Licence 435202826

Capacity4
Census4
Date signed02/03/2023 02:39:38 PM
The inspector’s account

Licensing Program Analysts (LPAs) Steve Chang, Simi Rai, Manuel Monter, and Licensing Program Manager (LPM) Jackie Jin conducted Technical Assistant (TA) through tele-inspection (ZOOM) and met with Administrator (ADM) JALANO VALENZUELA.

The purpose of this TA Tele visit was to review the facility COVID-19 infection mitigation plan and conducted inspection of the facility to ensure plan is being carried out and to provide support and guidance to staff in mitigating the spread of virus.

During tele-visit inspection, a tour of the facility was conducted which started at the main entrance to check COVID-19 signage and screening procedures. The facility has the COVID-19 posters at the main entrance. A screening station was observed at main entrance including screening visitor log book, hand sanitizer, face masks, thermometer. Living room, family room, dinning room, kitchen, 2 restrooms, laundry room, 4 resident single rooms and 2 staff live-in rooms were observed in the facility.

Trash cans with covers were observed in restrooms. Posters of washing hand for 20 seconds were observed by the sinks in restrooms and kitchen. Soap liquid were observed by the sink in kitchen and restrooms. Paper towels were observed with holders. Cloth towel was observed in kitchen. PPE supplies were observed sufficient.

ADM stated the facility separates the laundry load for each resident and uses high temperature for the laundry.

Based on today's inspection, the facility is being recommended the following:

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