Senior Care Records.

Facility Evaluation Report

North Valley Home, Santa Clara06/10/2022Licence 435202541

Capacity6
Census6
Date signed06/10/2022 04:44:15 PM
The inspector’s account

Licensing Program Analyst (LPA) Steve Chang, Licensing Program Manager (LPM) Romeo Manzano and Program Clinical Consultant (PCC) Helen Shi conducted Technical Assistant - PCC through tele-inspection (Zoom), and met with Administrator (ADM) JANETTE GOLTIAO.

The purpose of this TA PCC Tele visit was to review the facility COVID-19 infection mitigation plan and facility inspection of physical plant to ensure plan is being carried out, and to provide support and guidance to the 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 COVID-19 signage at the main entrance door, and screening station with the following: screening questionnaire, hand sanitizer, thermometer, face masks, and a visitor log.

The facility common areas were inspected such as the kitchen, living room, dinning area, and bathrooms. There are 5 resident bedrooms and 4 bathrooms at facility. Trash cans were observed with covers. Some paper towels were observed without holders. Washing hand posters were observed by the sink in restrooms and kitchen. Laundry room was observed and inspected. Gown was observed to reuse. PPE supplies were observed sufficient. ADM stated all the staff and residents are fully vaccinated and boosted

Based on today's inspection, below are the recommendations:

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