Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct an annual required 1-year infection control inspection of the facility. LPA was welcomed by Licensee Kevin Castaneda. Facility has no residents at this time while construction is being completed on facility. Last resident was placed in other facility in December 2021.

Facility tour/inspection began at 1:15 PM:

LPA toured the facility on 2/24/2023 with Licensee, Kevin Castaneda; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were equipped with auditory devices that were working properly during the visit. Fire Extinguisher was found to be last charged on 12/20/2022 at the time of the visit. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Hot water temperature measured 114. degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 2 out of 2 resident’s bathroom faucets while touring facility. The facility serves residents with dementia and has a plan of operation for special care and programming. Toxins are stored in the garage. There was a supply of cleaners, hygiene products and paper products available. The bathroom designated for residents at the facility were supplied with individual towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. All bedrooms have lighting & appropriate furnishings. Facility conducts disaster drills monthly with the last being 12/2021.

Facility has submitted a mitigation program plan and infection control plan. All staff and visitors check in and log temperatures. Posters have been placed at facility. Facility has PPE supply stored in garage. Staff had all PPE training required as well have been N95 Fit Tested. All staff have been fully vaccinated and received their COVID booster shots and all staff work exclusively at this facility.