Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived to conduct a Required- 1 Year inspection and met with Dan Galicia, caregiver. Janet Hermogenes, Administrator of another home owned by the Licensee, arrived at the facility to meet with the LPA. The inspection is focused on the Infection Control practices and procedures of this facility. Currently there are twenty(20) clients in care at this time.

Facility has submitted the Infection Control Plan as required. LPA toured the facility. The fire extinguishers are current, serviced and tagged, expires 10/20/22. Administrator Janet H. stated that all eight(8) fire extinguishers will be serviced and tagged before expiration date. All exits were cleared from obstruction. The common area was found to be orderly and have a working telephone and cable tv for resident use. Food supply was sufficient. Medications were locked up and inaccessible to clients. Cleaners were locked and inaccessible to clients in care.

**PLEASE SEE LIC812 WITH THE FACILITY EVALUATION REPORT -REQUIRED 1-YEAR INSPECTION COMPLETED 9/27/22, SIGNED BY LPA, ADMINISTRATOR, AND ON-FILE. COPY LEFT WITH ADMINISTRATOR JH, AND ON-FILE WITH CCL.