Senior Care Records.

Facility Evaluation Report

Miracle Lane House, Fairfield05/26/2022Licence 486801750

Capacity6
Census4
Date signed05/26/2022 06:09:30 PM
The inspector’s account

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Marissa Gueco, House Manager. Administrator Ed Punzalan arrived later and met with LPA. The annual inspection is focused on the Infection Control procedures and practices of this Adult Residential Facility.

LPA conducted a walk-through of the facility and all exits were observed unobstructed. Facility has a screening station with sign-in sheet, COVID-19 questionnaire and thermometer. House manager took LPA's temperature upon arrival and screened for COVID symptoms. Staff have current CPR/first aid certifications. Fire extinguisher was charged and serviced 05/05/2022.

The facility has a supply of PPE including gloves, hand sanitizer, N-95 respirators, gowns, face shields, and surgical masks. Staff have received training on the following topics: infection prevention, symptoms, transmission and PPE use. Staff and client's temperatures are taken daily and documented. Staff clean and disinfects the facility on a daily basis. LPA observed COVID-19 precaution postings and liquid hand soap available in the bathrooms.

LPA verified staff vaccination records during this inspection.

The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 which was reviewed by the California Department of Social Services, Community Care Licensing.

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