Senior Care Records.

Facility Evaluation Report

Cobblestone Manor, Watsonville10/22/2021Licence 445202740

Capacity4
Census3
Date signed10/22/2021 11:01:01 AM
The inspector’s account

Licensing Program Analyst (LPA) Marybeth Donovan conducted an unannounced Required - 1 Year Annual Inspection to include Infection Control site visit and met with Isabel Jimenez Administrator.

LPA toured the facility inside and out to include the entry, bedrooms, bathrooms, kitchen, dining room, living room and exterior. All fire exit routes were free and clear of obstructions. Medications are stored in locked cabinet in the office. Toxins, cleaning supplies, knives and sharp objects are secured.

Facility observed to have designated entry point for COVID 19 symptom screening. Bathrooms observed to be supplied with hygiene products. Hand sanitizer stations mounted throughout the facility for residents, staff and visitors. LPA observed sufficient supply of Personal Protective Equipment (PPE).

Staff disinfect high touch surfaces a minimum twice daily and as needed. Facility has a mitigation plan in place for prevent the spread of COVID-19 and other infectious diseases.

LPA reviewed the facility policies and procedures to include screening, visitation, isolation, disinfecting, sick leave polices, training, PPE usage and Fit Testing.

No citations were issued per the California Code of Regulations, Title 22.

LPA reviewed report with Isabel Jimenez Administrator and a copy provided.

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