Facility Evaluation Report

On 06/28/2022, Licensing Program Analysts (LPAs)Mandeep Kaur and David Marrufo conducted an unannounced infection control site visit today. LPAs met with Administrator Assistant Ofelia Guanzon

A temperature screening station, sign in sheet, and COVID-19 questionnaire were present at the entrance. Hand sanitizing stations were present. LPAs were checked in by the Administrator assistance before the tour. LPAs toured the facility with Administrator assistant

All staff members were observed to be wearing masks.

1 Private bathroom and 1 of the common restrooms observed to be adequately stocked with paper towels and hand soap.

The main kitchen was inspected. There was sufficient perishable food for at least 2 days and nonperishable food for at least one week.

Facility was observed to have adequate supply of PPE in a storage box.

3 of the 6 bedrooms were observed. Outside of the facility was observed.

This report was reviewed with Miguela Cruz and a copy of this report was provided.