Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela conducted a pre-licensing inspection on 02/01/2022.

LPA met with applicant Elinore Ramas, who will be the Administrator once the facility is approved for licensure. Additionally Paula Baluyot was present. The facility has a fire clearance approval from the Fairfield Fire Department of 1 non-ambulatory and 3 ambulatory, for a total capacity of 4 clients. Facility will operate with 24 hour staffing and Licensee will ensure sufficient staffing at all times.

During today’s visit LPA observed the following items:

· COVID-19 postings and screening station

· Lockable separate cabinets for medications, toxins/cleaners, and knives.

· All exits were unobstructed, · 3 charged Fire Extinguishers

· 4 smoke detectors and 2 combination smoke and carbon monoxide detectors, which were tested and observed operational

· Complete first Aid kit, night-lights, and flashlights for emergency lighting

· Supply of linens, paper products, and hygiene supplies available

· Required postings (Personal Rights, Emergency plan/numbers, CCLD complaint poster).

· The water temperature was tested during inspection